National Provider Identifier

Amy Thomas, CASAC

Amy Thomas, CASAC is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Rochester, NY and a listed phone number of (585) 442-8422.

NPI 1104137595Rochester, NYAddiction (Substance Use Disorder) Counselor

Profile Overview

NPI
1104137595
Provider Type
Individual
Primary Specialty
Addiction (Substance Use Disorder) Counselor
Enumeration Date
June 30, 2010
Last Updated
April 29, 2021

Practice Location

  • 556 Clinton Ave S
  • Rochester, NY 14620-1105

Phone: (585) 442-8422

Mailing Address

  • 79 Glenridge RD
  • Glenville, NY 12302-4523

Specialties

  • Addiction (Substance Use Disorder) Counselor (101YA0400X)
  • Mental Health Counselor (101YM0800X)
Full Record
NPI
1104137595
Entity Type
Individual
Last Name
Thomas
First Name
Amy
Credential
CASAC
Provider Other Last Name
Lanni
Provider Other First Name
Amy
Provider Other Last Name Type Code
1
Mailing Street Address
79 Glenridge RD
Mailing City
Glenville
Mailing State
NY
Mailing ZIP Code
12302-4523
Mailing Country
US
Mailing Phone
(585) 442-8422
Practice Street Address
556 Clinton Ave S
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-1105
Practice Country
US
Practice Phone
(585) 442-8422
Enumeration Date
June 30, 2010
Last Updated
April 29, 2021
Sex
Female
Sole Proprietor
No
Certification Date
April 29, 2021
Taxonomies
Addiction (Substance Use Disorder) Counselor (101YA0400X), Mental Health Counselor (101YM0800X)
Other Identifiers
01420800 (NY)