Provider Demographics
NPI:1134918022
Name:SIMPSON, AMY (MED, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:F
Credentials:MED, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2804 ASHLEY DR
Mailing Address - Street 2:
Mailing Address - City:COPPERAS COVE
Mailing Address - State:TX
Mailing Address - Zip Code:76522-7729
Mailing Address - Country:US
Mailing Address - Phone:254-206-6125
Mailing Address - Fax:
Practice Address - Street 1:3055 STILLHOUSE LAKE RD STE 206
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-8861
Practice Address - Country:US
Practice Address - Phone:254-813-4357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91474101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional