Provider Demographics
NPI:1629630868
Name:AMADOR, BETHSABE M (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:BETHSABE
Middle Name:M
Last Name:AMADOR
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1166 E WARNER RD STE 101-C
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85296-3080
Mailing Address - Country:US
Mailing Address - Phone:480-339-7124
Mailing Address - Fax:
Practice Address - Street 1:1166 E WARNER RD STE 101-C
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-3080
Practice Address - Country:US
Practice Address - Phone:480-339-7124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMFT-15321106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist