Provider Demographics
NPI:1053682047
Name:SEXTON, AMY E (MS, LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:SEXTON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:E
Other - Last Name:CLEASBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1280 W CLAIREMONT AVE STE 7
Mailing Address - Street 2:
Mailing Address - City:EAU CLAIRE
Mailing Address - State:WI
Mailing Address - Zip Code:54701-5101
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4714 COMMERCE VALLEY RD STE B
Practice Address - Street 2:
Practice Address - City:EAU CLAIRE
Practice Address - State:WI
Practice Address - Zip Code:54701-9033
Practice Address - Country:US
Practice Address - Phone:715-895-8534
Practice Address - Fax:715-895-8431
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2020-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4824-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional