MEDICARE: AMY LOUISE ZIEGLER LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	2011016802	MO

General Provider Information

NPI Number	:	1306264825
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY LOUISE ZIEGLER LPC

Provider Business Mailing Address
First Line	:	230 S BEMISTON AVE
Second Line	:	SUITE 430
City	:	CLAYTON
State	:	MO
Zip	:	63105-1907
Country	:	US
Telephone Number	:	314-727-1903
Fax Number	:

Provider Business Practice Location Address
First Line	:	8000 BONHOMME AVE STE 312
Second Line	:
City	:	CLAYTON
State	:	MO
Zip	:	63105-3515
Country	:	US
Telephone Number	:	314-727-1903
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2014
Last Update Date	:	01/22/2024

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