Provider Demographics
NPI:1356658371
Name:AMYOTTE, RENE LYNN (BSW, LMSW, CADC)
Entity Type:Individual
Prefix:
First Name:RENE
Middle Name:LYNN
Last Name:AMYOTTE
Suffix:
Gender:F
Credentials:BSW, LMSW, CADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1527 GREEN AVE
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48708-5506
Mailing Address - Country:US
Mailing Address - Phone:989-894-2991
Mailing Address - Fax:989-895-7669
Practice Address - Street 1:220 W MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48640
Practice Address - Country:US
Practice Address - Phone:989-631-0241
Practice Address - Fax:989-631-0242
Is Sole Proprietor?:No
Enumeration Date:2010-09-13
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)