MEDICARE: MS. AMY ELIZABETH CUNNINGHAM M.S., LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	69056	TX

General Provider Information

NPI Number	:	1073885414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMY ELIZABETH CUNNINGHAM M.S., LPC

Provider Business Mailing Address
First Line	:	1813 PAXTON DR
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75007-3019
Country	:	US
Telephone Number	:	469-269-0268
Fax Number	:

Provider Business Practice Location Address
First Line	:	8111 LYNDON B JOHNSON FWY STE 900
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75251-1322
Country	:	US
Telephone Number	:	214-366-9407
Fax Number	:	214-366-9417

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/01/2012
Last Update Date	:	08/27/2025

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