Provider Demographics
NPI:1659509495
Name:HULIN, AMANDA RACHELLE (LPC-I)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:RACHELLE
Last Name:HULIN
Suffix:
Gender:F
Credentials:LPC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19422 WATER POINT TRL
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-1350
Mailing Address - Country:US
Mailing Address - Phone:409-679-3842
Mailing Address - Fax:
Practice Address - Street 1:9595 SIX PINES DR
Practice Address - Street 2:STE 239
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1531
Practice Address - Country:US
Practice Address - Phone:832-631-6139
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2009-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64225101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional