# AMANDA IBANEZ COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477329753
- **Authorized official:** AMANDA GAYLE IBANEZ LCSW (OWNER/THERAPIST)
- **Authorized official phone:** (254) 722-6958

## Contact information

- **Practice address:** 605 AUSTIN AVE STE 4-105, WACO, TX 76701-2050
- **Practice address phone:** (254) 718-6013
- **Mailing address:** 605 AUSTIN AVE STE 4-105, WACO, TX 76701-2050
- **Mailing address phone:** (254) 718-6013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 11/28/2023
- **Last updated:** 11/28/2023