Provider Demographics
NPI:1831499771
Name:LENTINI, AMY LYNN (MA, LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LYNN
Last Name:LENTINI
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5359 HIGHWAY N
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63304-7792
Mailing Address - Country:US
Mailing Address - Phone:314-749-1771
Mailing Address - Fax:636-634-9033
Practice Address - Street 1:5359 HIGHWAY N
Practice Address - Street 2:SUITE 102
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63304-7792
Practice Address - Country:US
Practice Address - Phone:314-749-1771
Practice Address - Fax:636-634-9033
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-26
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MO2008032890101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional