Provider Demographics
NPI:1588173736
Name:SCHOCK, AMELIA (LPC)
Entity type:Individual
Prefix:
First Name:AMELIA
Middle Name:
Last Name:SCHOCK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:WORTHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2310 N HENDERSON AVE # 1418
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-7387
Mailing Address - Country:US
Mailing Address - Phone:817-854-3202
Mailing Address - Fax:
Practice Address - Street 1:2310 N HENDERSON AVE # 1418
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-7387
Practice Address - Country:US
Practice Address - Phone:817-854-3202
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2022-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional