Provider Demographics
NPI:1255773800
Name:NOYES, AMANDA ELIZABETH (LCSW)
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:ELIZABETH
Last Name:NOYES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:AMANDA
Other - Middle Name:ELIZABETH
Other - Last Name:GOYNE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:15851 DALLAS PKWY STE 600
Mailing Address - Street 2:
Mailing Address - City:ADDISON
Mailing Address - State:TX
Mailing Address - Zip Code:75001-6030
Mailing Address - Country:US
Mailing Address - Phone:972-674-9166
Mailing Address - Fax:214-561-8711
Practice Address - Street 1:15851 DALLAS PKWY STE 600
Practice Address - Street 2:
Practice Address - City:ADDISON
Practice Address - State:TX
Practice Address - Zip Code:75001-6030
Practice Address - Country:US
Practice Address - Phone:972-674-9166
Practice Address - Fax:214-561-8711
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-24
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX519041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical