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NPI Code Detail

MEDICARE: AMANDA TUCKER LPC

MEDICARE: AMANDA TUCKER 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
1101YP2500XProfessional Counselor90462TX

General Provider Information

NPI Number : 1265390223
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA TUCKER LPC
Provider Business Mailing Address
First Line : 315 W MCLAIN DR
Second Line :
City : SHERMAN
State : TX
Zip : 75092-2605
Country : US
Telephone Number : 903-957-4869
Fax Number : 903-957-3416
Provider Business Practice Location Address
First Line : 315 W MCLAIN DR
Second Line :
City : SHERMAN
State : TX
Zip : 75092-2605
Country : US
Telephone Number : 903-957-4869
Fax Number : 903-957-3416
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/09/2026

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Directions to “ AMANDA TUCKER LPC” Practice Location

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