| Doctor Name: | MRS. AMY L BAUER |
| NPI Number: | 1144469776 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCAS |
| License Number: | 1363 |
| Business Practice Address: | 5841 Highway 421 South Buies Creek, NC - 27506 |
| Business Phone Number: | 9108935727 |
| Business Fax Number: | 9108936404 |
| Mailing Address: | 284 Executive Park Drive, Suite 100 CONCORD |
| State: | NC |
| Postal Code: | 280251894 |
| Phone Number: | 7049391100 |
| Fax Number: | 7049391173 |
| NPI Enumeration Date: | 02/04/2009 |
| NPI Last Update Date: | 05/30/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 1363 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |