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General NPI Number Information
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NPI Number | 1346835857
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Entity Type | Individual
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Provider Name | LOU ANN HUMPHREY LPC
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Gender | Male
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Dates
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Enumeration Date | 03/05/2021
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR STE 1038
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City | AMARILLO
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State | TX
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Zip | 79106-2103
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Country | US
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Telephone | 806-231-7963
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Fax |
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Provider Business Mailing Address
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Address Line | 3406 LYNETTE DR
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City | AMARILLO
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State | TX
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Zip | 79109-4512
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Country | US
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Telephone | 806-231-7963
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 85326
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License Number State | TX
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