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General NPI Number Information
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NPI Number | 1396208302
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Entity Type | Organization
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Legal Business Name | AMANDA HEANEY LPC PLLC
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Dates
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Enumeration Date | 04/08/2019
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 3033 NW 63RD ST SUITE 160 EAST
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City | OKC
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State | OK
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Zip | 73116
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Country | US
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Telephone | 405-259-7443
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Fax | 405-421-0719
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Provider Business Mailing Address
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Address Line | 3033 NW 63RD ST STE 160
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City | OKLAHOMA CITY
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State | OK
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Zip | 73116-3607
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Country | US
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Telephone | 405-259-7443
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Fax | 405-421-0719
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Authorized Official
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Title or Position | THERAPIST
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Name | MRS. AMANDA CHRISTINE HEANEY
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Credential | LPC
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Telephone | 405-259-7443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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