Provider Demographics
NPI:1255903357
Name:AMY H. JENNINGS, LMFT PLLC
Entity type:Organization
Organization Name:AMY H. JENNINGS, LMFT PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:H
Authorized Official - Last Name:JENNINGS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:207-305-0670
Mailing Address - Street 1:29 FRESHET RD
Mailing Address - Street 2:
Mailing Address - City:MADBURY
Mailing Address - State:NH
Mailing Address - Zip Code:03823-7603
Mailing Address - Country:US
Mailing Address - Phone:207-305-0670
Mailing Address - Fax:
Practice Address - Street 1:2 WASHINGTON STREET
Practice Address - Street 2:PICKER BUILDING, SUITE 302
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-0382
Practice Address - Country:US
Practice Address - Phone:207-305-0670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)