Provider Demographics
NPI:1215503933
Name:AMARIS ASSOCIATES, PLLC
Entity type:Organization
Organization Name:AMARIS ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:PATZER
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:208-274-3084
Mailing Address - Street 1:13403 N GOVERNMENT WAY UNIT 308
Mailing Address - Street 2:
Mailing Address - City:HAYDEN
Mailing Address - State:ID
Mailing Address - Zip Code:83835-8903
Mailing Address - Country:US
Mailing Address - Phone:208-274-3084
Mailing Address - Fax:
Practice Address - Street 1:13403 N GOVERNMENT WAY UNIT 308
Practice Address - Street 2:
Practice Address - City:HAYDEN
Practice Address - State:ID
Practice Address - Zip Code:83835-8903
Practice Address - Country:US
Practice Address - Phone:208-274-3084
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty