Individual ProviderAmy MartinCounselorBehavioral Health & Social Service ProvidersPractice Address500 N Washington St Ste 5, Weatherford, OK 73096-5700(580) 650-8587PECOS EnrollmentBased on the most recent information from CMS, provider Amy Martin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1841967429Provider TypeIndividualFull NameMartin, AmyCredentialLPCGenderFemaleSole ProprietorNoEnumeration Date8/23/2021Last Updated8/23/2021Contact InformationPractice LocationPractice Address500 N Washington St Ste 5, Weatherford, OK 73096-5700Phone(580) 650-8587FaxUnlisted FaxMailing LocationMailing AddressPO Box 985, Weatherford, OK 73096-0985Phone(580) 650-8587FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YP2500XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLPC04518OklahomaProvider IdentifiersIDDescriptionIssuerIDLPC04518DescriptionOtherIssuerOKLAHOMA STATE BOARD OF BEHAVIORAL HEALTHOklahoma