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NPI 1306638739

NPI 1306638739 : FAMILY SUPPORT SERVICES OF AMARILLO : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1306638739
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAMILY SUPPORT SERVICES OF AMARILLO 
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Dates
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    Enumeration Date     |    05/21/2025
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    Last Update Date     |    06/01/2025
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Provider Practice Location Address
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    Address Line         |    2209 SW 7TH AVE 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-6769
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    Country              |    US
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    Telephone            |    806-342-2500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2209 SW 7TH AVE 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106-6769
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    Country              |    US
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    Telephone            |    806-342-2500
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR OF COUNSELING
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    Name                 |     KATHY  TORTOREO 
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    Credential           |    LPC-S
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    Telephone            |    806-342-2513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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