Provider Demographics
NPI:1235884818
Name:SUTTERFIELD, JAMES KIRBY (MA, LPC-S, LCDC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:KIRBY
Last Name:SUTTERFIELD
Suffix:
Gender:M
Credentials:MA, LPC-S, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30814
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79120-0814
Mailing Address - Country:US
Mailing Address - Phone:806-584-6639
Mailing Address - Fax:
Practice Address - Street 1:4007 S WILSON ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79118-7760
Practice Address - Country:US
Practice Address - Phone:806-584-6639
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-13
Last Update Date:2022-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8627101YA0400X
TX18381101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty