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AMANDA ANDERSON LAC
NPI 1437819331
Counselor - Mental Health in Phoenix, AZ

Active since December 20, 2021
11022 S 51ST ST STE 200, PHOENIX, AZ 85044(602) 363-0629(480) 247-4179 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Anderson Lac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ANDERSON LAC (NPI 1437819331) is an individual mental health provider in Phoenix, Arizona, licensed in Arizona (LAC20189) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1437819331
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA ANDERSONCredential: LAC
Location Address11022 S 51ST ST STE 200Phoenix, AZ 85044-4307
Mailing Address16620 N 40th St Ste G1Phoenix, AZ 85032-3351 · (602) 363-0629 · Fax (480) 247-4179
Phone(602) 363-0629
Fax(480) 247-4179
Sole ProprietorYes
Enumeration DateDecember 20, 2021
NPPES CertifiedDecember 20, 2021
✔ NPI 1437819331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC20189
11022 S 51ST ST STE 200, Phoenix, AZ 85044
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CELESTE CELAYA
Counselor (Mental Health)
11022 S 51ST ST STE 200
PHOENIX, AZ 85044
Maricopa County (602) 363-0629

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Anderson's NPI number?

The NPI number for Amanda Anderson is 1437819331. It was assigned to this individual provider in the NPPES registry on December 20, 2021.

Where is Amanda Anderson located?

Amanda Anderson practices at 11022 S 51st St Ste 200, Phoenix, AZ 85044. The listed phone number is (602) 363-0629.

What is Amanda Anderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Amanda Anderson was last updated on December 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.