Provider Demographics
NPI:1841509106
Name:KUEHT, AMANDA BYERS (LCDC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:BYERS
Last Name:KUEHT
Suffix:
Gender:F
Credentials:LCDC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:BYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1901 MORSE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77019-6112
Mailing Address - Country:US
Mailing Address - Phone:713-528-6720
Mailing Address - Fax:713-520-6720
Practice Address - Street 1:1901 MORSE ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77019-6112
Practice Address - Country:US
Practice Address - Phone:713-528-6720
Practice Address - Fax:713-520-6720
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10865101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)