Provider Demographics
NPI:1184938664
Name:MAYES, AMY MARIE (LMSW)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MARIE
Last Name:MAYES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:MARIE
Other - Last Name:TURSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:3700 CLINTON PKWY
Mailing Address - Street 2:#1003
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66047-2199
Mailing Address - Country:US
Mailing Address - Phone:719-651-4005
Mailing Address - Fax:
Practice Address - Street 1:217 SE 4TH ST
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66603-3504
Practice Address - Country:US
Practice Address - Phone:785-271-6657
Practice Address - Fax:785-271-6572
Is Sole Proprietor?:No
Enumeration Date:2010-07-27
Last Update Date:2010-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS7582104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker