Provider Demographics
NPI:1477201614
Name:STYLER, AMANDA RENEE' (LCSW)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:RENEE'
Last Name:STYLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:RENEE'
Other - Last Name:GOODMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:12151 W PARMER LN STE 202
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2171
Mailing Address - Country:US
Mailing Address - Phone:512-593-7070
Mailing Address - Fax:
Practice Address - Street 1:12151 W PARMER LN STE 202
Practice Address - Street 2:
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2171
Practice Address - Country:US
Practice Address - Phone:512-593-7070
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-16
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX653981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical