MEDICARE: AMANDA ABUAH LCSW

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	1041C0700X	Clinical Social Worker	55712	TX

General Provider Information

NPI Number	:	1851646442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA ABUAH LCSW

Provider Business Mailing Address
First Line	:	909 FROSTWOOD DR
Second Line	:	SUITE 1.100
City	:	HOUSTON
State	:	TX
Zip	:	77024-2301
Country	:	US
Telephone Number	:	713-338-4523
Fax Number	:

Provider Business Practice Location Address
First Line	:	10780 WESTVIEW DR
Second Line	:	SUITE C
City	:	HOUSTON
State	:	TX
Zip	:	77043-5037
Country	:	US
Telephone Number	:	713-932-5230
Fax Number	:

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

Provider Enumeration Date	:	07/19/2012
Last Update Date	:	02/02/2022

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