MARY AMANDA BEAVER (NPI# 1841637881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841637881 |
| Entity Type | Individual |
| Full Name | MARY AMANDA BEAVER |
| Credential | PSY,D, LPC-S, NCC |
| Practice Address |
719 Scott Ave Ste 630 Wichita Falls TX 76301-2610 |
| Practice Telephone | 9402020733 |
| Practice Fax Number | 9402329353 |
| Mailing Telephone | 9402020733 |
| Mailing Fax Number | 9402329353 |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2020-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
68191 | TX | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 3192510-01 | 05 |
| Street Address |
719 SCOTT AVE STE 630 |
| City | WICHITA FALLS |
| State | TX |
| Zip Code | 76301-2610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679192991 | Rebecca Ashley Marin | Licensed Vocational Nurse | 909 8th Sreet, Ste 100, Wichita Falls, TX 76301 | 2020-04-16 |
| 1164077558 | Melissa Ann Marshall | Registered Nurse | 1717 Lucile Ave, Wichita Falls, TX 76301 | 2019-08-02 |
| 1841760659 | Edward Scott Hamilton | Psychologist | 710 Lamar St., Wichita Falls, TX 76301 | 2018-12-05 |
| 1457872681 | Jennyfer A Rosado | Counselor | 719 Scott Ave Ste 610, Wichita Falls, TX 76301 | 2017-06-28 |
| 1023547676 | Cale David Lennard | Dentist | 2405 9th St Ste A, Wichita Falls, TX 76301 | 2017-06-07 |
| 1790198455 | Tongle Yu | Family Medicine | 1301 Third St, Suite 200, Wichita Falls, TX 76301 | 2014-06-10 |
| 1821412081 | Jennifer Burbage | Nurse Practitioner | 1700 3rd Street, Wichita Falls, TX 76301 | 2014-02-09 |
| 1275871568 | Jeffrey John Papak | Pharmacy Technician | 1610 9th Street, Wichita Falls, TX 76301 | 2013-01-22 |
| 1679826853 | Cheryl Denise Williams | Clinical Nurse Specialist | 1605 10th Street, Wichita Falls, TX 76301 | 2012-10-24 |
| 1902199250 | Tilahun Worku Belay | Internal Medicine | 1631 11th St Unit B, Wichita Falls, TX 76301 | 2011-05-19 |
| Find all providers in zip 76301 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013540368 | Lauren Nichols | Counselor | 4815 Fairway Blvd, Wichita Falls, TX 76310-3221 | 2020-02-14 |
| 1841842226 | Leslie Arden Bailey | Counselor | 4615 Monterrey Dr, Wichita Falls, TX 76310-3946 | 2019-07-15 |
| 1134784374 | Margory Ann Cantrell | Counselor | 807 8th St Ste 801, Wichita Falls, TX 76301-3319 | 2019-05-02 |
| 1770046518 | Amanda Michelle Vickers | Counselor | 1505 N 8th St, Wichita Falls, TX 76306-6718 | 2019-04-09 |
| 1952888380 | Africa R Logan | Counselor | 4425 Westward Dr, Wichita Falls, TX 76308-2438 | 2018-07-27 |
| 1972025807 | Louann Whittington | Counselor | 2211 Midwestern Pkwy Ste 2, Wichita Falls, TX 76308 | 2017-07-12 |
| 1588038939 | Vickie Lamb | Counselor | 1417 9th St, Wichita Falls, TX 76301-4302 | 2015-11-23 |
| 1811302599 | Tiffany A Stewart | Counselor | 4302 Gorman Rd, Wichita Falls, TX 76302-2511 | 2014-06-21 |
| 1477967388 | Michelle Hall | Counselor | 2304 Midwestern Pkwy Ste 103a, Wichita Falls, TX 76308-2342 | 2014-06-18 |
| 1669803300 | Megan Hale | Counselor | 1101 Scott Ave Ste 8, Wichita Falls, TX 76301-4660 | 2013-12-05 |
| Find all providers in WICHITA FALLS | ||||
| City | WICHITA FALLS |
| Zip Code | 76301 |
Please comment or provide details below to improve the information on MARY AMANDA BEAVER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.