Provider Demographics
NPI:1053116020
Name:AMY KING PSYCHOLOGY, LLC
Entity type:Organization
Organization Name:AMY KING PSYCHOLOGY, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:720-306-1858
Mailing Address - Street 1:850 OLEANDER ST
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80109-9583
Mailing Address - Country:US
Mailing Address - Phone:720-306-1858
Mailing Address - Fax:
Practice Address - Street 1:7200 S ALTON WAY STE A140
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2236
Practice Address - Country:US
Practice Address - Phone:720-306-1858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-14
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty