Doctor Name: | CHARLIE MCMORDIE |
NPI Number: | 1528163029 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 16233 |
Business Practice Address: | 7000 W 45th Ave Amarillo, TX - 791095088 |
Business Phone Number: | 8063525474 |
Business Fax Number: | 8063523797 |
Mailing Address: | Po Box 50360, AMARILLO |
State: | TX |
Postal Code: | 791590360 |
Phone Number: | 8063511560 |
Fax Number: | 8063510343 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 16233 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |