Provider Demographics
NPI:1871842104
Name:AMARANTE, MARIA I (LPC, NCC, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARIA
Middle Name:I
Last Name:AMARANTE
Suffix:
Gender:F
Credentials:LPC, NCC, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1670 S 11TH STREET #203
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-0000
Mailing Address - Country:US
Mailing Address - Phone:973-876-3663
Mailing Address - Fax:
Practice Address - Street 1:3015 N 114TH ST
Practice Address - Street 2:FAMILY OPTIONS COUNSELING, LLC
Practice Address - City:WAUWATOSA
Practice Address - State:WI
Practice Address - Zip Code:53222-4208
Practice Address - Country:US
Practice Address - Phone:414-431-4444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2012-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
WI4574-125101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health