Provider Demographics
NPI:1124590989
Name:RAMOS, AMANDA BETH (LMHC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:BETH
Last Name:RAMOS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15906 WINDERMERE DR APT 234
Mailing Address - Street 2:
Mailing Address - City:PFLUGERVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78660-2544
Mailing Address - Country:US
Mailing Address - Phone:512-650-7540
Mailing Address - Fax:512-650-7540
Practice Address - Street 1:7517 CAMERON RD STE 118
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-2053
Practice Address - Country:US
Practice Address - Phone:512-650-7540
Practice Address - Fax:512-361-2405
Is Sole Proprietor?:No
Enumeration Date:2018-12-18
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX82853101YM0800X
FLMH14074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX82853OtherLICENSED PROFESSIONAL COUNSELOR
FLMH14074OtherLICENSED MENTAL HEALTH COUNSELOR