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Organization

AMARILLO COUNSELING ASSOCIATES @ WESLEY COMMUNITY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. BELINDA TAYLOR M.ED., LPC (EXECUTIVE DIRECTOR)
(806) 372-7960
Entity
Organization

Contact information

Practice address
1615 S ROBERTS ST, AMARILLO, TX 79102-4330
(806) 372-1092
(806) 372-7868
Mailing address
1615 S ROBERTS ST, AMARILLO, TX 79102-4330
(806) 372-1092
(806) 372-7868

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
12345
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0261737-01
TX
01
83811L
BLUECROSS BLUESHIELD OF TEXAS
TX
Enumeration date
07/16/2008
Last updated
06/03/2010
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