Provider Demographics
NPI:1295106441
Name:BELAIR, AMY L (MS, NCC, LMHC-P)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:BELAIR
Suffix:
Gender:F
Credentials:MS, NCC, LMHC-P
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:GILMET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:22 US OVAL STE 100
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12903-5901
Mailing Address - Country:US
Mailing Address - Phone:518-561-1767
Mailing Address - Fax:518-561-1795
Practice Address - Street 1:22 US OVAL STE 100
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12903-5901
Practice Address - Country:US
Practice Address - Phone:518-561-1767
Practice Address - Fax:518-561-1795
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2015-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYP96641101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health