Doctor Name: | AMY LOUISE HENSLEY |
NPI Number: | 1073864054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 2814 S. Us Hwy 1 Ste. D-4 Ft. Pierce, FL - 34982 |
Business Phone Number: | 3525045229 |
Business Fax Number: | |
Mailing Address: | 2814 S. Us Hwy 1 Ste. D-4, FT. PIERCE |
State: | FL |
Postal Code: | 34982 |
Phone Number: | 3525045229 |
Fax Number: | |
NPI Enumeration Date: | 10/01/2012 |
NPI Last Update Date: | 10/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |