Provider Demographics
NPI:1427886381
Name:YACHIMSKI, AMARA NICOLE (LPC ASSOCIATE)
Entity type:Individual
Prefix:
First Name:AMARA
Middle Name:NICOLE
Last Name:YACHIMSKI
Suffix:
Gender:X
Credentials:LPC ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2187 COUNTY ROAD 1079
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75401-7977
Mailing Address - Country:US
Mailing Address - Phone:512-964-1006
Mailing Address - Fax:
Practice Address - Street 1:1720 BRAY CENTRAL DR
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-8207
Practice Address - Country:US
Practice Address - Phone:469-207-1150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-23
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX95360101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health