Provider Demographics
NPI:1053541847
Name:GARMAN, AMY BRYANT (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:BRYANT
Last Name:GARMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3414 SEGUIN
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79765-8967
Mailing Address - Country:US
Mailing Address - Phone:432-553-1482
Mailing Address - Fax:
Practice Address - Street 1:3414 SEGUIN
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79765-8967
Practice Address - Country:US
Practice Address - Phone:432-553-1482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2016-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX61064101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional