Individual
AMY SUZANNE OTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1717 N INTERSTATE 35 STE 220, ROUND ROCK, TX 78664-2901
(512) 815-3723
Mailing address
8026 WHITWORTH LN, ROUND ROCK, TX 78681-3416
(512) 944-2751
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
72064
TX
Other
Enumeration date
03/14/2017
Last updated
06/18/2026
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