Provider Demographics
NPI:1902686041
Name:ATWOOD, AMY L (LMSW)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:L
Last Name:ATWOOD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 S DAIRY ASHFORD RD STE 580
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-2375
Mailing Address - Country:US
Mailing Address - Phone:281-410-5622
Mailing Address - Fax:
Practice Address - Street 1:1001 S DAIRY ASHFORD RD STE 580
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-2375
Practice Address - Country:US
Practice Address - Phone:281-410-5622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111523104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker