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NPI Code Detail

MEDICARE: AMY VAUGHN LMFT

MEDICARE: AMY VAUGHN LMFT
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
1106H00000XMarriage & Family TherapistL682AL

General Provider Information

NPI Number : 1679467856
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY VAUGHN LMFT
Provider Business Mailing Address
First Line : 5750A SOUTHLAND DR
Second Line :
City : MOBILE
State : AL
Zip : 36693-3316
Country : US
Telephone Number : 251-450-5916
Fax Number :
Provider Business Practice Location Address
First Line : 4211 GOVERNMENT BLVD
Second Line :
City : MOBILE
State : AL
Zip : 36693-4813
Country : US
Telephone Number : 251-666-2569
Fax Number : 251-277-8632
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/04/2025
Last Update Date : 06/04/2025

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Directions to “ AMY VAUGHN LMFT” Practice Location

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