Healthcare Provider Details

I. General information

NPI: 1831499771
Provider Name (Legal Business Name): AMY LYNN LENTINI MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/26/2010
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 N COOL SPRINGS RD
O FALLON MO
63366-4517
US

IV. Provider business mailing address

110 N COOL SPRINGS RD
O FALLON MO
63366-4517
US

V. Phone/Fax

Practice location:
  • Phone: 314-749-1771
  • Fax:
Mailing address:
  • Phone: 314-749-1771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2008032890
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: