Provider Demographics
NPI:1104243765
Name:ARMENDARIZ, AMANDA SUZANNE
Entity type:Individual
Prefix:MRS
First Name:AMANDA
Middle Name:SUZANNE
Last Name:ARMENDARIZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8615 MUIRFIELD VILLAGE CT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89131-1748
Mailing Address - Country:US
Mailing Address - Phone:575-640-2350
Mailing Address - Fax:
Practice Address - Street 1:8615 MUIRFIELD VILLAGE CT
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89131-1748
Practice Address - Country:US
Practice Address - Phone:575-640-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-20
Last Update Date:2014-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor