Provider Demographics
NPI:1164896015
Name:BURKLAND, AMY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:BURKLAND
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 LIBERTY ST
Mailing Address - Street 2:
Mailing Address - City:HAVERHILL
Mailing Address - State:MA
Mailing Address - Zip Code:01832-1034
Mailing Address - Country:US
Mailing Address - Phone:484-753-1221
Mailing Address - Fax:
Practice Address - Street 1:230 LIBERTY ST
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01832-1034
Practice Address - Country:US
Practice Address - Phone:484-753-1221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-16
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health