AMIE MAHAVANH
NPI 1831052976
Counselor - School in Boulevard, CA

Active since December 05, 2025
39639 OLD HIGHWAY 80, BOULEVARD, CA 91905(619) 766-4655 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amie Mahavanh NPPES

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

AMIE MAHAVANH (NPI 1831052976) is an individual school provider in Boulevard, California, licensed in California (240145966) and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1831052976
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameAMIE MAHAVANH
Location Address39639 OLD HIGHWAY 80Boulevard, CA 91905-9733
Mailing Address39639 Old Highway 80Boulevard, CA 91905-9733 · (619) 766-4655
Sole ProprietorNo
Enumeration DateDecember 5, 2025
NPPES CertifiedDecember 5, 2025
NPI 1831052976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License Licensed in CA · 240145966
39639 OLD HIGHWAY 80, Boulevard, CA 91905

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 Amie Mahavanh's NPI number?

The NPI number for Amie Mahavanh is 1831052976. It was assigned to this individual provider in the NPPES registry on December 5, 2025.

Where is Amie Mahavanh located?

Amie Mahavanh practices at 39639 Old Highway 80, Boulevard, CA 91905. The listed phone number is (619) 766-4655.

What is Amie Mahavanh's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Amie Mahavanh was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.