Provider Demographics
NPI:1992534077
Name:STEARNS, AMIE (LPCA)
Entity type:Individual
Prefix:
First Name:AMIE
Middle Name:
Last Name:STEARNS
Suffix:
Gender:F
Credentials:LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 EAST ST BLDG 2-301
Mailing Address - Street 2:
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776-3180
Mailing Address - Country:US
Mailing Address - Phone:203-908-6372
Mailing Address - Fax:
Practice Address - Street 1:14 DEPOT PL
Practice Address - Street 2:
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-2593
Practice Address - Country:US
Practice Address - Phone:203-917-8296
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT7324101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional