Healthcare Provider Details

I. General information

NPI: 1396303327
Provider Name (Legal Business Name): CLAUDIA AMARIS LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/04/2019
Last Update Date: 06/04/2021
Certification Date: 06/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1704 BAIRD FARM CIRCLE #4112
ARLINGTON TX
76006
US

IV. Provider business mailing address

1704 BAIRD FARM CIRCLE #4112
ARLINGTON TX
76006
US

V. Phone/Fax

Practice location:
  • Phone: 817-617-1378
  • Fax:
Mailing address:
  • Phone: 817-617-1378
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number73816
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: