Provider Demographics
NPI:1538632336
Name:AMAECHI, MACBARBARA (PMHNP)
Entity type:Individual
Prefix:
First Name:MACBARBARA
Middle Name:
Last Name:AMAECHI
Suffix:
Gender:F
Credentials:PMHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 SUGAR CREEK CENTER BLVD STE 600
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-3688
Mailing Address - Country:US
Mailing Address - Phone:832-400-1002
Mailing Address - Fax:832-410-3353
Practice Address - Street 1:5614 W GRAND PKWY S STE 102
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5820
Practice Address - Country:US
Practice Address - Phone:832-400-1002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-04
Last Update Date:2024-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTAPRN-213474363LP0808X
IAG160510363LP0808X
COC-APN.0100464-C-NP363LP0808X
NM61755363LP0808X
TX1003974363LP0808X
WAAP61098624363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health