Provider Demographics
NPI:1811746886
Name:STROBEL, AMANDA (LCPC)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:STROBEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1963 E BELLFLOWER CT
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-8104
Mailing Address - Country:US
Mailing Address - Phone:708-642-6371
Mailing Address - Fax:
Practice Address - Street 1:1963 E BELLFLOWER CT
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-8104
Practice Address - Country:US
Practice Address - Phone:708-642-6371
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-14
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180-004761101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional