| Doctor Name: | AMY LOUISE HUELSENBECK |
| NPI Number: | 1003825563 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | C004465 |
| Business Practice Address: | 3125 Poplarwood Ct Aspen Bldg, Ste 100 Raleigh, NC - 276041084 |
| Business Phone Number: | 8006326074 |
| Business Fax Number: | |
| Mailing Address: | 2012 Englewood Ave, DURHAM |
| State: | NC |
| Postal Code: | 277054113 |
| Phone Number: | 9192865723 |
| Fax Number: | |
| NPI Enumeration Date: | 08/05/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | C004465 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |