Healthcare Provider Details

I. General information

NPI: 1205657285
Provider Name (Legal Business Name): AMY HORD, LCSW-S, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2024
Last Update Date: 10/22/2024
Certification Date: 10/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3014 SW 26TH AVE STE 4000
AMARILLO TX
79109-3175
US

IV. Provider business mailing address

3014 SW 26TH AVE STE 4000
AMARILLO TX
79109-3175
US

V. Phone/Fax

Practice location:
  • Phone: 806-367-1936
  • Fax:
Mailing address:
  • Phone: 806-367-1936
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMY HORD
Title or Position: OWNER
Credential: LCSW
Phone: 806-367-1936