Provider Demographics
NPI:1992007330
Name:ST.AMANT, EMILY JOYCE (MA, LPC-MHSP)
Entity type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JOYCE
Last Name:ST.AMANT
Suffix:
Gender:F
Credentials:MA, LPC-MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 TINY TOWN RD
Mailing Address - Street 2:STE B PMB 1005
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37042
Mailing Address - Country:US
Mailing Address - Phone:615-212-9057
Mailing Address - Fax:
Practice Address - Street 1:919 TINY TOWN RD
Practice Address - Street 2:STE B PMB 1005
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37042
Practice Address - Country:US
Practice Address - Phone:615-212-9057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-17
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health