# THE SAMARITAN PASTORAL COUNSELING CENTER OF AMARILLO, INC.

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

## Provider details

- **NPI number:** 1750324414
- **Authorized official:** MRS. TWILLA WOOLSEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (806) 353-1668

## Contact information

- **Practice address:** 112 W 8TH AVE, SUITE 800, AMARILLO, TX 79101-2399
- **Practice address phone:** (806) 353-1668
- **Practice address fax:** (806) 353-1668
- **Mailing address:** 112 W 8TH AVE, SUITE 800, AMARILLO, TX 79101-2399
- **Mailing address phone:** (806) 353-1668
- **Mailing address fax:** (806) 353-1668

## Taxonomy

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

## Other

- **Enumeration date:** 06/13/2006
- **Last updated:** 05/10/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 028342601 | — | TX |
| 05 | — | 030722501 | — | TX |
| 05 | — | 096093203 | — | TX |
| 05 | — | 121937006 | — | TX |
| 05 | — | 148080802 | — | TX |
| 05 | — | 161995901 | — | TX |
| 05 | — | 177927401 | — | TX |
| 05 | — | 205124501 | — | TX |
| 05 | — | 290635601 | — | TX |