Provider Demographics
NPI:1750191797
Name:AMITRANO PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:AMITRANO PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMITRANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:630-797-1231
Mailing Address - Street 1:900 S SHACKLEFORD RD STE 300
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72211-3848
Mailing Address - Country:US
Mailing Address - Phone:630-797-9871
Mailing Address - Fax:
Practice Address - Street 1:900 S SHACKLEFORD RD STE 300
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72211-3848
Practice Address - Country:US
Practice Address - Phone:630-797-9871
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1982364840OtherNPPES