MEDICARE: MRS. AMIRAH PAULINE SALDIVAR-SMITH M.A., LPC, LCDC

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	15254	AZ
2	101YP2500X	Professional Counselor	20023	TX

General Provider Information

NPI Number	:	1558534438
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. AMIRAH PAULINE SALDIVAR-SMITH M.A., LPC, LCDC

Provider Business Mailing Address
First Line	:	202 E BEELINE LN
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1910
Country	:	US
Telephone Number	:	254-279-4305
Fax Number	:	254-218-5532

Provider Business Practice Location Address
First Line	:	202 E BEELINE LN
Second Line	:
City	:	HARKER HEIGHTS
State	:	TX
Zip	:	76548-1910
Country	:	US
Telephone Number	:	254-279-4305
Fax Number	:	254-218-5532

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

Provider Enumeration Date	:	04/10/2008
Last Update Date	:	04/02/2025

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