Provider Demographics
NPI:1972280519
Name:CRAFT, AMY (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:CRAFT
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46172 LAURIE DR
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70401-4741
Mailing Address - Country:US
Mailing Address - Phone:270-282-1154
Mailing Address - Fax:888-801-5727
Practice Address - Street 1:46172 LAURIE DR
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70401-4741
Practice Address - Country:US
Practice Address - Phone:270-282-1154
Practice Address - Fax:888-801-5727
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-04
Last Update Date:2023-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA8614101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health