Provider Demographics
NPI:1275333833
Name:THE AMOXIE EDUCATIONAL CONSULTING GROUP LLC
Entity type:Organization
Organization Name:THE AMOXIE EDUCATIONAL CONSULTING GROUP LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AKWETA
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-706-4652
Mailing Address - Street 1:705 ACADIA ST
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4104
Mailing Address - Country:US
Mailing Address - Phone:817-706-4652
Mailing Address - Fax:972-637-9328
Practice Address - Street 1:705 ACADIA ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4104
Practice Address - Country:US
Practice Address - Phone:817-706-4652
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)