Provider Demographics
NPI:1023263654
Name:JONES, AMY ELIZABETH (MED, LPC, CAC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:ELIZABETH
Last Name:JONES
Suffix:
Gender:F
Credentials:MED, LPC, CAC
Other - Prefix:MRS
Other - First Name:AMY
Other - Middle Name:BARTON
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED, LPC, CAC
Mailing Address - Street 1:613 LOOKOVER DR
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-2351
Mailing Address - Country:US
Mailing Address - Phone:864-353-4621
Mailing Address - Fax:
Practice Address - Street 1:505 NEW PROSPECT CHURCH RD
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29625-5009
Practice Address - Country:US
Practice Address - Phone:864-934-3178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-24
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4970101YP2500X
SC0804022101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)