Provider Demographics
NPI:1457988321
Name:TENNEY, AMY BLISS (LCPC, LPMT, MT-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:BLISS
Last Name:TENNEY
Suffix:
Gender:
Credentials:LCPC, LPMT, MT-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:816 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-6002
Mailing Address - Country:US
Mailing Address - Phone:443-928-4789
Mailing Address - Fax:
Practice Address - Street 1:816 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-6002
Practice Address - Country:US
Practice Address - Phone:443-928-4789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2025-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
00080225A00000X
MD15980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist