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NPI Code Detail

MEDICARE: AMANDA WILLIAMS LERCHIE COUNSELOR

MEDICARE: AMANDA WILLIAMS LERCHIE COUNSELOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1114420593
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA WILLIAMS LERCHIE COUNSELOR
Provider Business Mailing Address
First Line : 5801 BLUE SPRUCE LN
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-6985
Country : US
Telephone Number : 318-426-4615
Fax Number :
Provider Business Practice Location Address
First Line : 3900 S STONEBRIDGE DR STE 804
Second Line :
City : MCKINNEY
State : TX
Zip : 75070-8059
Country : US
Telephone Number : 469-772-0948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2018
Last Update Date : 03/13/2018

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