Healthcare Provider Details

I. General information

NPI: 1659290625
Provider Name (Legal Business Name): AMY JO SIMPSON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 S 12TH ST
WACO TX
76701-1810
US

IV. Provider business mailing address

14019 HILL CREEK CIR
WOODWAY TX
76712-7525
US

V. Phone/Fax

Practice location:
  • Phone: 254-301-3330
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number93833
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: