Provider Demographics
NPI:1134312218
Name:POWERS, AMY KATHRYN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:KATHRYN
Last Name:POWERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:KATHRYN
Other - Last Name:BERRYHILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PLC
Mailing Address - Street 1:110 TRADERS CROSS
Mailing Address - Street 2:SUITE 240
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-4637
Mailing Address - Country:US
Mailing Address - Phone:843-338-5917
Mailing Address - Fax:843-705-8196
Practice Address - Street 1:110 TRADERS CROSS
Practice Address - Street 2:SUITE 240
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-4637
Practice Address - Country:US
Practice Address - Phone:843-338-5917
Practice Address - Fax:843-705-8196
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-22
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5219101YP2500X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor