Provider Demographics
NPI:1508589649
Name:AMPEY, AUSTIN MICHAEL-EDWIN I (MSW, LLMSW)
Entity Type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:MICHAEL-EDWIN
Last Name:AMPEY
Suffix:I
Gender:M
Credentials:MSW, LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:4411 CLAYBORNE DR APT 301
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-2741
Mailing Address - Country:US
Mailing Address - Phone:269-303-5310
Mailing Address - Fax:
Practice Address - Street 1:4411 CLAYBORNE DR APT 301
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-2741
Practice Address - Country:US
Practice Address - Phone:269-303-5310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-23
Last Update Date:2023-10-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health