MEDICARE: AMANDA KATHERINE PIKE LPC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor
3	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1326158064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA KATHERINE PIKE LPC

Provider Business Mailing Address
First Line	:	1506 GOODNIGHT CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6214
Country	:	US
Telephone Number	:	832-282-4592
Fax Number	:	281-499-9360

Provider Business Practice Location Address
First Line	:	4502 RIVERSTONE BLVD STE 1301
Second Line	:
City	:	MISSOURI CITY
State	:	TX
Zip	:	77459-5212
Country	:	US
Telephone Number	:	832-282-4592
Fax Number	:	281-499-9360

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	05/30/2021

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Directions to “ AMANDA KATHERINE PIKE LPC” Practice Location

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