Provider Demographics
NPI:1801637665
Name:AMOS, AHJANAY (MA)
Entity type:Individual
Prefix:
First Name:AHJANAY
Middle Name:
Last Name:AMOS
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CORVETTE CT
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-8713
Mailing Address - Country:US
Mailing Address - Phone:484-557-6596
Mailing Address - Fax:
Practice Address - Street 1:100 W COMMONS BLVD STE 430
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-2401
Practice Address - Country:US
Practice Address - Phone:302-221-1441
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-05
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional