Wickliffe, Amy
Wickliffe, Amy is an individual health care provider with primary practice located at 685 Shelby Trl Ste 105 , Conway AR 72034-7169. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Wickliffe, Amy can be contacted via phone (501) 410-0092.Contact Information
Primary practice address
685 Shelby Trl Ste 105
Conway AR 72034-7169
Phone: (501) 410-0092
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 2394-M | Arkansas |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6170-C | Arkansas |
Profile Details
| NPI number | 1417272923 |
|---|---|
| LBN Legal business name | Wickliffe, Amy |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2010 |
| Last updated | Jan 9th, 2024 - about 2 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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