Provider Demographics
NPI:1982903407
Name:DUFFY, AMY ELIZABETH (PHD LCMHCS NCC CCTP)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ELIZABETH
Last Name:DUFFY
Suffix:
Gender:F
Credentials:PHD LCMHCS NCC CCTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:2681 NOBLEWOOD CIR APT 2238
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-1869
Mailing Address - Country:US
Mailing Address - Phone:919-791-7545
Mailing Address - Fax:919-747-4257
Practice Address - Street 1:219 S EAST ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27601-2369
Practice Address - Country:US
Practice Address - Phone:919-791-7545
Practice Address - Fax:919-747-4257
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-23
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7903101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health