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NPI Code Detail

MEDICARE: AMY COFFELT LPC, NCC, CCF-CANDID

MEDICARE:   AMY  COFFELT  LPC, NCC, CCF-CANDID
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 Counselor66643TX

General Provider Information

NPI Number : 1285984658
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY COFFELT LPC, NCC, CCF-CANDID
Provider Business Mailing Address
First Line : 7825 HIGHWAY 6 N
Second Line : SUITE 102D
City : HOUSTON
State : TX
Zip : 77095-1700
Country : US
Telephone Number : 281-961-3552
Fax Number :
Provider Business Practice Location Address
First Line : 7825 HIGHWAY 6 N
Second Line : SUITE 102D
City : HOUSTON
State : TX
Zip : 77095-1700
Country : US
Telephone Number : 713-701-1820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2012
Last Update Date : 01/25/2013

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Directions to “ AMY COFFELT LPC, NCC, CCF-CANDID” Practice Location

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