Healthcare Provider Details

I. General information

NPI: 1891725370
Provider Name (Legal Business Name): AMY N FRENCH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3742 S AMHERST HWY
MADISON HEIGHTS VA
24572
US

IV. Provider business mailing address

PO BOX 128
MONROE VA
24574
US

V. Phone/Fax

Practice location:
  • Phone: 434-929-0355
  • Fax: 434-929-0357
Mailing address:
  • Phone: 434-929-0355
  • Fax: 434-929-0357

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0904003978
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: