| Laurie Ames Petty, M.ed., Lpc, P.a. | |
|
14833 Midway Rd Suite 210 Addison TX 75001-4955 | |
| (214) 202-4687 | |
| (214) 390-8112 |
| Full Name | Laurie Ames Petty, M.ed., Lpc, P.a. |
|---|---|
| Speciality | Counselor - Professional |
| Location | 14833 Midway Rd, Addison, Texas |
| Authorized Official Name and Position | Laurie Ames Petty (OWNER) |
| Authorized Official Contact | 2142024687 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Ames Petty, M.ed., Lpc, P.a. Po Box 180244 Dallas TX 75218-0244 Ph: (214) 202-4687 | Laurie Ames Petty, M.ed., Lpc, P.a. 14833 Midway Rd Suite 210 Addison TX 75001-4955 Ph: (214) 202-4687 |
| NPI Number | 1316927197 |
|---|---|
| Provider Enumeration Date | 01/18/2006 |
| Last Update Date | 05/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316927197 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 17704 (Texas) | Primary |
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