Healthcare Provider Details

I. General information

NPI: 1457477713
Provider Name (Legal Business Name): AMY E. CUMMINGS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMY SIMMS LPC

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 12/05/2024
Certification Date: 12/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 FIRST ST
PARSONS WV
26287-1235
US

IV. Provider business mailing address

37 KESTREL LN
HAMBLETON WV
26269-8099
US

V. Phone/Fax

Practice location:
  • Phone: 304-478-2833
  • Fax:
Mailing address:
  • Phone: 304-478-1185
  • Fax: 304-478-1185

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1738
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: