| Doctor Name: | AMY PHELPS |
| NPI Number: | 1265757405 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC U/S |
| License Number: | A1003023 |
| Business Practice Address: | 231 E Graham Ave Pryor, OK - 743612436 |
| Business Phone Number: | 9188251405 |
| Business Fax Number: | 9188251406 |
| Mailing Address: | 114 W Delaware Ave, NOWATA |
| State: | OK |
| Postal Code: | 740482601 |
| Phone Number: | 9182731841 |
| Fax Number: | 9182731843 |
| NPI Enumeration Date: | 03/31/2010 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | A1003023 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |