Provider Demographics
NPI:1114420593
Name:LERCHIE, AMANDA WILLIAMS (COUNSELOR)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:WILLIAMS
Last Name:LERCHIE
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5801 BLUE SPRUCE LN
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-6985
Mailing Address - Country:US
Mailing Address - Phone:318-426-4615
Mailing Address - Fax:
Practice Address - Street 1:3900 S STONEBRIDGE DR STE 804
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-8059
Practice Address - Country:US
Practice Address - Phone:469-772-0948
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-13
Last Update Date:2018-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional