Provider Demographics
NPI:1649776014
Name:ANDERSON-REID, AMY G (LMHC, CASAC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:G
Last Name:ANDERSON-REID
Suffix:
Gender:F
Credentials:LMHC, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1769 AMSTERDAM AVE
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12303-3910
Mailing Address - Country:US
Mailing Address - Phone:518-356-5881
Mailing Address - Fax:
Practice Address - Street 1:401 GEYSER RD
Practice Address - Street 2:
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-9069
Practice Address - Country:US
Practice Address - Phone:518-583-3035
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY320101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health