Provider Demographics
NPI:1447810650
Name:MCLAUGHLIN, AMY GRACE (MA, LPC, NCC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:GRACE
Last Name:MCLAUGHLIN
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 PLEASANTVIEW DR
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:PA
Mailing Address - Zip Code:15059-2231
Mailing Address - Country:US
Mailing Address - Phone:724-462-3132
Mailing Address - Fax:
Practice Address - Street 1:533 CARNOT RD
Practice Address - Street 2:
Practice Address - City:MOON TWP
Practice Address - State:PA
Practice Address - Zip Code:15108-2301
Practice Address - Country:US
Practice Address - Phone:724-462-3132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-19
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC011438101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional