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General NPI Number Information
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NPI Number | 1669034898
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Entity Type | Organization
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Legal Business Name | AMITY COUNSELING, LLC
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Dates
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Enumeration Date | 07/09/2019
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 305 NW SHERIDAN RD STE A
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City | LAWTON
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State | OK
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Zip | 73505-6520
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Country | US
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Telephone | 801-382-8758
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Fax |
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Provider Business Mailing Address
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Address Line | 305 NW SHERIDAN RD STE A
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City | LAWTON
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State | OK
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Zip | 73505-6520
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Country | US
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Telephone | 801-382-8758
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | KARLIE R PARRY
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Credential | M.S., NCC, LPC
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Telephone | 801-382-8758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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