Provider Demographics
NPI:1083751051
Name:SAVAGE, JANIS D (LPC)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:D
Last Name:SAVAGE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 W 26TH AVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79109-3177
Mailing Address - Country:US
Mailing Address - Phone:806-350-7648
Mailing Address - Fax:806-350-7899
Practice Address - Street 1:3012 SW 26TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-3177
Practice Address - Country:US
Practice Address - Phone:806-350-7648
Practice Address - Fax:806-350-7899
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10107101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional