MEDICARE: MRS. AMY FRANCES BIRCHILL LAVERGNE M.ED., LMFT-S, LPC-S

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	64545	TX
2	106H00000X	Marriage & Family Therapist	201270	TX
3	106H00000X	Marriage & Family Therapist	MFC 42975	CA

General Provider Information

NPI Number	:	1205943685
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMY FRANCES BIRCHILL LAVERGNE M.ED., LMFT-S, LPC-S

Provider Business Mailing Address
First Line	:	2142 BELVEDERE CT
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-2687
Country	:	US
Telephone Number	:	713-502-8028
Fax Number	:

Provider Business Practice Location Address
First Line	:	618 COMAL AVE STE 4
Second Line	:
City	:	NEW BRAUNFELS
State	:	TX
Zip	:	78130-7668
Country	:	US
Telephone Number	:	713-502-8028
Fax Number	:	210-855-0507

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

Provider Enumeration Date	:	08/23/2006
Last Update Date	:	05/27/2026

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