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NPI Code Detail

MEDICARE: MS. AUDREY MAY STEAKLEY LPC

MEDICARE: MS. AUDREY MAY STEAKLEY LPC
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 Counselor63080TX

General Provider Information

NPI Number : 1487885711
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AUDREY MAY STEAKLEY LPC
Provider Business Mailing Address
First Line : 203 SANTA RITA DR
Second Line :
City : ODESSA
State : TX
Zip : 79763-2943
Country : US
Telephone Number : 432-335-0794
Fax Number : 432-335-0794
Provider Business Practice Location Address
First Line : 203 SANTA RITA DR
Second Line :
City : ODESSA
State : TX
Zip : 79763-2943
Country : US
Telephone Number : 432-335-0794
Fax Number : 432-335-0794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/04/2009
Last Update Date : 08/04/2009

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Directions to “ MS. AUDREY MAY STEAKLEY LPC” Practice Location

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