Provider Demographics
NPI:1083479208
Name:LLAMAS, AMYE NICOLE (LCSWA)
Entity Type:Individual
Prefix:
First Name:AMYE
Middle Name:NICOLE
Last Name:LLAMAS
Suffix:
Gender:F
Credentials:LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 5TH ST SW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-3230
Mailing Address - Country:US
Mailing Address - Phone:828-322-5915
Mailing Address - Fax:828-345-0387
Practice Address - Street 1:741 5TH ST SW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-3230
Practice Address - Country:US
Practice Address - Phone:828-322-5915
Practice Address - Fax:828-345-0387
Is Sole Proprietor?:No
Enumeration Date:2024-02-16
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP020159101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)