Thomas, Amy Renae

Thomas, Amy Renae is an individual health care provider with primary practice located at 2390 Kanawha State Forest Dr , Charleston WV 25314-9080. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Thomas, Amy Renae can be contacted via phone (304) 389-5730.

Contact Information

Primary practice address
2390 Kanawha State Forest Dr Charleston WV 25314-9080
Phone: (304) 389-5730
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2022 West Virginia

Profile Details

NPI number 1699045542
LBN Legal business name Thomas, Amy Renae
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2012
Last updated Jun 15th, 2015 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1699045542 NPPES
West Virginia MEDICAID 0005355002

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