Provider Demographics
NPI:1770822108
Name:MARCHANT, AMY HELEN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:HELEN
Last Name:MARCHANT
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:MISS
Other - First Name:AMY
Other - Middle Name:HELEN
Other - Last Name:ALFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3820 PACKARD ST STE 250
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-5017
Mailing Address - Country:US
Mailing Address - Phone:734-476-5024
Mailing Address - Fax:
Practice Address - Street 1:3820 PACKARD ST STE 250
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-5017
Practice Address - Country:US
Practice Address - Phone:734-476-5024
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401013410101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional