Provider Demographics
NPI:1063644367
Name:DECHELLIS, AMIE RENEE (LISW)
Entity Type:Individual
Prefix:
First Name:AMIE
Middle Name:RENEE
Last Name:DECHELLIS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:AMIE
Other - Middle Name:RENEE
Other - Last Name:GARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:849 DAYSPRING CT
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:OH
Mailing Address - Zip Code:45067-9629
Mailing Address - Country:US
Mailing Address - Phone:513-885-2968
Mailing Address - Fax:
Practice Address - Street 1:4721 READING RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-6107
Practice Address - Country:US
Practice Address - Phone:513-242-7600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2016-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health