Individual
AMANDA TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPA
Contact information
Practice address
11882 GREENVILLE AVE STE 107, DALLAS, TX 75243-3567
(972) 644-8686
Mailing address
11882 GREENVILLE AVE STE 107, DALLAS, TX 75243-3567
(972) 644-8686
(972) 644-8688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
30548
TX
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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