Provider Demographics
NPI:1407002827
Name:LOUDEN, NELIDA AMARANTE (MS)
Entity Type:Individual
Prefix:MRS
First Name:NELIDA
Middle Name:AMARANTE
Last Name:LOUDEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MRS
Other - First Name:NELIDA
Other - Middle Name:MARA
Other - Last Name:AMARANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:300 SUNNYHILLS DR
Mailing Address - Street 2:SUNNY HILLS SERVICES
Mailing Address - City:SAN ANSELMO
Mailing Address - State:CA
Mailing Address - Zip Code:94960-1909
Mailing Address - Country:US
Mailing Address - Phone:415-457-3200
Mailing Address - Fax:415-457-3200
Practice Address - Street 1:300 SUNNYHILLS DR
Practice Address - Street 2:SUNNY HILLS SERVICES
Practice Address - City:SAN ANSELMO
Practice Address - State:CA
Practice Address - Zip Code:94960-1909
Practice Address - Country:US
Practice Address - Phone:415-457-3200
Practice Address - Fax:415-457-3200
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-18
Last Update Date:2011-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist