Provider Demographics
NPI:1457477713
Name:CUMMINGS, AMY E (LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:E
Last Name:CUMMINGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:
Other - Last Name:SIMMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:37 KESTREL LN
Mailing Address - Street 2:
Mailing Address - City:HAMBLETON
Mailing Address - State:WV
Mailing Address - Zip Code:26269-8099
Mailing Address - Country:US
Mailing Address - Phone:304-478-1185
Mailing Address - Fax:304-478-1185
Practice Address - Street 1:507 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PARSONS
Practice Address - State:WV
Practice Address - Zip Code:26287-1116
Practice Address - Country:US
Practice Address - Phone:304-478-1185
Practice Address - Fax:304-478-1185
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV1738101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health