Provider Demographics
NPI:1154054617
Name:AMIA MENTAL HEALTH AND WELLNESS
Entity Type:Organization
Organization Name:AMIA MENTAL HEALTH AND WELLNESS
Other - Org Name:MARIA VOLAKIS, MA, LPC
Other - Org Type:Other Name
Authorized Official - Title/Position:LPC
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VOLAKIS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:602-699-5052
Mailing Address - Street 1:1940 W CHANDLER BLVD STE 2-440
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-6176
Mailing Address - Country:US
Mailing Address - Phone:602-699-5052
Mailing Address - Fax:480-991-0134
Practice Address - Street 1:3200 N DOBSON RD BLDG C109
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-9601
Practice Address - Country:US
Practice Address - Phone:602-699-5052
Practice Address - Fax:480-991-0134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-01
Last Update Date:2023-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty