Individual
AMY LYNN STARAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 COUNTRY CLUB RD SE, CORYDON, IN 47112-1705
(812) 738-2114
Mailing address
7400 BRUNER LN SW, CENTRAL, IN 47110-7834
(502) 345-9916
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39005845A
IN
101YM0800X
Mental Health Counselor
Primary
88002066A
IN
Other
Enumeration date
10/18/2023
Last updated
02/04/2026
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