Provider Demographics
NPI:1639789209
Name:BURAS, AMANDA (LCSW)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:BURAS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:BRINEGAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:PO BOX 980
Mailing Address - Street 2:
Mailing Address - City:MESILLA
Mailing Address - State:NM
Mailing Address - Zip Code:88046-0980
Mailing Address - Country:US
Mailing Address - Phone:915-307-0241
Mailing Address - Fax:575-708-2027
Practice Address - Street 1:1991 CALLE DE SANTIAGO
Practice Address - Street 2:
Practice Address - City:MESILLA
Practice Address - State:NM
Practice Address - Zip Code:88046-9040
Practice Address - Country:US
Practice Address - Phone:915-307-0241
Practice Address - Fax:575-708-2027
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-07
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical