Healthcare Provider Details

I. General information

NPI: 1487251682
Provider Name (Legal Business Name): AMANDA JANE JONES LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMANDA ZIMMERMAN

II. Dates (important events)

Enumeration Date: 10/01/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8668 JOHN HICKMAN PKWY STE 1001
FRISCO TX
75034-9388
US

IV. Provider business mailing address

3500 LEIGHTON DR
ARLINGTON TX
76015-3231
US

V. Phone/Fax

Practice location:
  • Phone: 817-366-3522
  • Fax:
Mailing address:
  • Phone: 817-366-3522
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number72766
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: