Provider Demographics
NPI:1336543982
Name:NEAL, AMY K (LPC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:K
Last Name:NEAL
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 8TH ST NE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-5118
Mailing Address - Country:US
Mailing Address - Phone:704-286-6608
Mailing Address - Fax:855-706-2002
Practice Address - Street 1:520 8TH ST NE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-5118
Practice Address - Country:US
Practice Address - Phone:704-286-6608
Practice Address - Fax:855-706-2002
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-10
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
11138101YP2500X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA11138OtherLICENSE