Provider Demographics
NPI:1235765751
Name:SCHLIETER, AMANDA G (LPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:G
Last Name:SCHLIETER
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 1:1805 WEANNE DR
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3105
Mailing Address - Country:US
Mailing Address - Phone:972-655-4632
Mailing Address - Fax:
Practice Address - Street 1:3200 SOUTHERN DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1549
Practice Address - Country:US
Practice Address - Phone:972-271-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-16
Last Update Date:2020-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71925101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional