Provider Demographics
NPI:1295141398
Name:HIONIS, AMY L (LPC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:L
Last Name:HIONIS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MS
Other - First Name:AMY
Other - Middle Name:L
Other - Last Name:NORFOLK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:SAFE HARBORS PO BOX 40
Mailing Address - Street 2:
Mailing Address - City:LANSE
Mailing Address - State:PA
Mailing Address - Zip Code:16849
Mailing Address - Country:US
Mailing Address - Phone:814-345-5550
Mailing Address - Fax:814-345-5570
Practice Address - Street 1:2018 MAPLE STREET
Practice Address - Street 2:
Practice Address - City:MORRISDALE
Practice Address - State:PA
Practice Address - Zip Code:16858
Practice Address - Country:US
Practice Address - Phone:814-345-5550
Practice Address - Fax:814-345-5570
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-09
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
PAPC012542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor