MEDICARE: DR. AMY CATHERINE MINOR LMFT

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	103TC1900X	Counseling Psychologist	10041	NC

General Provider Information

NPI Number	:	1689364820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMY CATHERINE MINOR LMFT

Provider Business Mailing Address
First Line	:	1776 HERITAGE CENTER DR STE 104
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-3977
Country	:	US
Telephone Number	:	919-585-5637
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 HERITAGE CENTER DR STE 104
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-3977
Country	:	US
Telephone Number	:	919-585-5637
Fax Number	:

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

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	03/19/2026

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