Provider Demographics
NPI:1861853848
Name:THIGPEN, AMY CAROL (LPC)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:CAROL
Last Name:THIGPEN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:505 N SEMINARY ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:AL
Mailing Address - Zip Code:35630-4678
Mailing Address - Country:US
Mailing Address - Phone:256-710-2594
Mailing Address - Fax:256-712-5295
Practice Address - Street 1:505 N SEMINARY ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:AL
Practice Address - Zip Code:35630-4678
Practice Address - Country:US
Practice Address - Phone:256-710-2594
Practice Address - Fax:256-712-5295
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-17
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2976101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional