Provider Demographics
NPI:1386708303
Name:LEONE, AMY (MA,MS,LMHC)
Entity type:Individual
Prefix:MS
First Name:AMY
Middle Name:
Last Name:LEONE
Suffix:
Gender:F
Credentials:MA,MS,LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 CONGRESS ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-4130
Mailing Address - Country:US
Mailing Address - Phone:508-422-0242
Mailing Address - Fax:
Practice Address - Street 1:12 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-4130
Practice Address - Country:US
Practice Address - Phone:508-422-0242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-21
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6190101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health