Individual provider · Type 1 NPI
Amy Botta
Mental Health Counselor · La Grange, IL
NPI number
1336024975
Active
Practice location
15 W Harris Ave Ste 17
La Grange, IL 60525-2368
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1336024975
Amy Botta's National Provider Identifier is 1336024975, issued on Aug 11, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in La Grange, IL. The record was last updated on Apr 1, 2026.