Provider Demographics
NPI:1154809382
Name:SILVA, AMI JACQUELYN (LCMHC, NCC)
Entity type:Individual
Prefix:
First Name:AMI
Middle Name:JACQUELYN
Last Name:SILVA
Suffix:
Gender:F
Credentials:LCMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 BEACH ST
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3515
Mailing Address - Country:US
Mailing Address - Phone:828-475-0149
Mailing Address - Fax:
Practice Address - Street 1:406A E UNION ST
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3454
Practice Address - Country:US
Practice Address - Phone:828-475-0149
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-31
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC13980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health