person
Jim Coventry, LCSW
Mental Health Counselor in Amarillo, Texas
NPI 1447251988

Jim Coventry is a Mental Health Counselor based in Amarillo, TX and is specialized in Mental Health. Jim Coventry practices in Amarillo, TX and has the professional credentials of LCSW. The NPI Number for Jim Coventry is 1447251988 and holds a License No. 04489 (Texas).

The current practice location address for Jim Coventry is 1616 S Kentucky St, Amarillo, TX and can be reached out via phone at 806-463-7001 and via fax at 806-463-7006.

Location: 1616 S Kentucky St, Amarillo, TX, 79102-2250
person
Provider Profile Details
NPI Number
1447251988
Provider Name
Jim Coventry
Credential
LCSW
Provider Entity Type
Individual
Gender
Male
Address
1616 S Kentucky St, Amarillo, TX, 79102-2250
Phone Number
806-463-7001
Fax Number
806-463-7006
Provider Enumeration Date
08/09/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00S26P 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
1616 S Kentucky St
City
State
Zip
79102-2250
Phone Number
806-463-7001
Fax Number
806-463-7006
person
Provider Business Mailing Address Details
Address
1616 S Kentucky St
City
State
Zip
79102-2250
Phone Number
806-463-7001
Fax Number
806-463-7006
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
04489 (Texas)
Definition
Definition to come...
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