Provider Demographics
NPI:1861733149
Name:AMARI, NATALIA LUX (LMSW)
Entity type:Individual
Prefix:
First Name:NATALIA
Middle Name:LUX
Last Name:AMARI
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NATASHA
Other - Middle Name:IRENE
Other - Last Name:BOTELLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2312 WESTERN TRAILS BLVD
Mailing Address - Street 2:BUILDING C, SUITE 301
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1642
Mailing Address - Country:US
Mailing Address - Phone:512-761-2106
Mailing Address - Fax:
Practice Address - Street 1:2312 WESTERN TRAILS BLVD
Practice Address - Street 2:BUILDING C, SUITE 301
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1642
Practice Address - Country:US
Practice Address - Phone:512-761-2106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-11
Last Update Date:2016-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker