Amanda J. Culver, Lcsw, Pllc | |
3737 Lamar Ave Ste 100 Paris TX 75460 | |
(903) 900-8182 | |
Not Available |
Full Name | Amanda J. Culver, Lcsw, Pllc |
---|---|
Speciality | Social Worker |
Location | 3737 Lamar Ave Ste 100, Paris, Texas |
Authorized Official Name and Position | Amanda J. Culver (OWNER) |
Authorized Official Contact | 9039008182 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amanda J. Culver, Lcsw, Pllc Po Box 100 Paris TX 75461-0100 Ph: (903) 783-1282 | Amanda J. Culver, Lcsw, Pllc 3737 Lamar Ave Ste 100 Paris TX 75460 Ph: (903) 900-8182 |
NPI Number | 1740780139 |
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Provider Enumeration Date | 02/13/2018 |
Last Update Date | 08/07/2018 |
Medicare PECOS PAC ID | 9234490509 |
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Medicare Enrollment ID | O20180301000336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740780139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Amanda J Culver |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1033408000 PECOS PAC ID: 6608046701 Enrollment ID: I20110829000357 |
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