Provider Demographics
NPI:1255166237
Name:HESS, AMY KATHRYN (LPCA, NCC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:KATHRYN
Last Name:HESS
Suffix:
Gender:F
Credentials:LPCA, NCC
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:KATHRYN
Other - Last Name:STELZNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4221 MAYFAIR ST
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29577-5757
Mailing Address - Country:US
Mailing Address - Phone:843-968-2364
Mailing Address - Fax:
Practice Address - Street 1:4221 MAYFAIR ST
Practice Address - Street 2:
Practice Address - City:MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29577-5757
Practice Address - Country:US
Practice Address - Phone:843-968-2364
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-07
Last Update Date:2024-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8652101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health