Provider Demographics
NPI:1396620076
Name:ALLARD, AMANDA BROOKE (LPC-A, ATR-P, LCDC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:BROOKE
Last Name:ALLARD
Suffix:
Gender:F
Credentials:LPC-A, ATR-P, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8602 LORALINDA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78753-5862
Mailing Address - Country:US
Mailing Address - Phone:352-262-8184
Mailing Address - Fax:
Practice Address - Street 1:8602 LORALINDA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78753-5862
Practice Address - Country:US
Practice Address - Phone:352-262-8184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-11
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX17182101YA0400X
TX24-252221700000X
TX98672101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist