Provider Demographics
NPI:1245804392
Name:ROCKWELL, AMANDA (MS LPC-ASSOCIATE)
Entity Type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:
Last Name:ROCKWELL
Suffix:
Gender:F
Credentials:MS LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13810 CHAMPION FOREST DR STE 203
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77069-1875
Mailing Address - Country:US
Mailing Address - Phone:713-231-6801
Mailing Address - Fax:
Practice Address - Street 1:13810 CHAMPION FOREST DR STE 203
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77069-1875
Practice Address - Country:US
Practice Address - Phone:713-231-6801
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-13
Last Update Date:2021-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX84884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health