MEDICARE: AMY E STUART MA LCPC

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	101YP2500X	Professional Counselor	180006651	IL

General Provider Information

NPI Number	:	1710951892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY E STUART MA LCPC

Provider Business Mailing Address
First Line	:	13170 CLEAR RIDGE RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-5357
Country	:	US
Telephone Number	:	815-603-9752
Fax Number	:

Provider Business Practice Location Address
First Line	:	13170 CLEAR RIDGE RD
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37922-5357
Country	:	US
Telephone Number	:	815-603-9752
Fax Number	:

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

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	05/27/2026

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