Elliott, Amy W

Elliott, Amy W is an individual health care provider with primary practice located at 4656 Brambleton Ave , Roanoke VA 24018-3437. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Elliott, Amy W can be contacted via phone (540) 772-8043.

Contact Information

Primary practice address
4656 Brambleton Ave Roanoke VA 24018-3437
Phone: (540) 772-8043
Fax: (540) 772-8242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001842 Virginia
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 0717000698 Virginia

Profile Details

NPI number 1013929033
LBN Legal business name Elliott, Amy W
Credentials LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2006
Last updated Sep 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013929033 NPPES
Virginia MEDICAID 010214424
Virginia Other 185569
Virginia Other 025425
Virginia Other 151545000
Virginia Other 010214424

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