Provider Demographics
NPI:1558069369
Name:BUCHANAN, AMY ANN (LMHCA)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:ANN
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 SOCKANOSSET CROSS RD STE 4
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02920-5529
Mailing Address - Country:US
Mailing Address - Phone:401-383-4885
Mailing Address - Fax:401-383-4379
Practice Address - Street 1:45 SOCKANOSSET CROSS RD STE 4
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5529
Practice Address - Country:US
Practice Address - Phone:401-383-4885
Practice Address - Fax:401-383-4379
Is Sole Proprietor?:No
Enumeration Date:2023-02-21
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health