institution
Tim Enevoldsen M.ed., Lpc-s, Pllc
Professional Counselor in Amarillo, Texas
NPI 1184174609

Tim Enevoldsen M.ed., Lpc-s, Pllc is a Professional Counselor based in Amarillo, TX and is specialized in Professional. Tim Enevoldsen M.ed., Lpc-s, Pllc practices in Amarillo, TX. The NPI Number for Tim Enevoldsen M.ed., Lpc-s, Pllc is 1184174609 and holds a License No. 10727 (Texas).

The current practice location address for Tim Enevoldsen M.ed., Lpc-s, Pllc is 6666 W Amarillo Blvd, Amarillo, TX and can be reached out via phone at 806-570-3775 and via fax at 806-358-3627.

Location: 6666 W Amarillo Blvd, Amarillo, TX, 79106-1756
institution
Provider Profile Details
NPI Number
1184174609
Provider Name
Tim Enevoldsen M.ed., Lpc-s, Pllc
Credential
Provider Entity Type
Organization
Address
6666 W Amarillo Blvd, Amarillo, TX, 79106-1756
Phone Number
806-570-3775
Fax Number
806-358-3627
Provider Enumeration Date
10/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
095362205 05 TX
institution
Provider Business Practice Location Address Details
Address
6666 W Amarillo Blvd
City
State
Zip
79106-1756
Phone Number
806-570-3775
Fax Number
806-358-3627
person
Provider Business Mailing Address Details
Address
6666 W Amarillo Blvd
City
State
Zip
79106-1756
Phone Number
806-570-3775
Fax Number
806-358-3627
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
10727 (Texas)
Definition
Definition to come...
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