Provider Demographics
NPI:1831288562
Name:HOUDE, AMY J (LCSW LADC)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:J
Last Name:HOUDE
Suffix:
Gender:F
Credentials:LCSW LADC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:HOUDE
Other - Last Name:THURIOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:682 PROSPECT AVENUE
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06106
Mailing Address - Country:US
Mailing Address - Phone:860-247-8129
Mailing Address - Fax:
Practice Address - Street 1:682 PROSPECT AVENUE SUITE 300
Practice Address - Street 2:
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-247-8129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2017-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)