Provider Demographics
NPI:1407917222
Name:MORTON, AMY HAMRICK (LMFT)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:HAMRICK
Last Name:MORTON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 COLLEGE ST
Mailing Address - Street 2:STE. 150
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-7231
Mailing Address - Country:US
Mailing Address - Phone:478-741-1138
Mailing Address - Fax:478-741-1225
Practice Address - Street 1:315 COLLEGE ST
Practice Address - Street 2:STE. 150
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-7231
Practice Address - Country:US
Practice Address - Phone:478-741-1138
Practice Address - Fax:478-741-1225
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT000758106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist