Provider Demographics
NPI:1013537299
Name:KAIS, AMEERAH AMY
Entity Type:Individual
Prefix:
First Name:AMEERAH
Middle Name:AMY
Last Name:KAIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4961 S ENSENADA WAY
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80015-3437
Mailing Address - Country:US
Mailing Address - Phone:720-460-8410
Mailing Address - Fax:
Practice Address - Street 1:4961 S ENSENADA WAY
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80015-3437
Practice Address - Country:US
Practice Address - Phone:720-460-8410
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-17
Last Update Date:2020-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty