Individual
AMANDA RAYE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
719 SCOTT AVE STE 1108, WICHITA FALLS, TX 76301-2616
(940) 613-1661
Mailing address
719 SCOTT AVE STE 1108, WICHITA FALLS, TX 76301-2616
(940) 613-1661
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
T-CTL0213841
NM
101YP2500X
Professional Counselor
Primary
95852
TX
Other
Enumeration date
04/07/2021
Last updated
03/23/2026
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