Provider Demographics
NPI:1851909394
Name:HOEHNER, AMY TACKETT (LPC, NCC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:TACKETT
Last Name:HOEHNER
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14523 DUSTIN LN
Mailing Address - Street 2:
Mailing Address - City:CROSBY
Mailing Address - State:TX
Mailing Address - Zip Code:77532-6551
Mailing Address - Country:US
Mailing Address - Phone:281-728-1461
Mailing Address - Fax:
Practice Address - Street 1:14523 DUSTIN LN
Practice Address - Street 2:
Practice Address - City:CROSBY
Practice Address - State:TX
Practice Address - Zip Code:77532-6551
Practice Address - Country:US
Practice Address - Phone:281-728-1461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11833101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor