Healthcare Provider Details

I. General information

NPI: 1124703699
Provider Name (Legal Business Name): AMY LEIGH GARLINGTON LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. AMY LEIGH WIBLE

II. Dates (important events)

Enumeration Date: 06/21/2023
Last Update Date: 02/06/2025
Certification Date: 02/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1104 HEALTHWAY DR
SALISBURY MD
21804-4469
US

IV. Provider business mailing address

PO BOX 1978
SALISBURY MD
21802-1978
US

V. Phone/Fax

Practice location:
  • Phone: 410-219-5483
  • Fax: 410-219-5486
Mailing address:
  • Phone: 410-749-1015
  • Fax: 410-749-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC16137
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: