Provider Demographics
NPI:1841714904
Name:WINTER, ARMEDA (CPC)
Entity type:Individual
Prefix:
First Name:ARMEDA
Middle Name:
Last Name:WINTER
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4911 ESTIVA CT
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89061-7031
Mailing Address - Country:US
Mailing Address - Phone:307-797-8357
Mailing Address - Fax:
Practice Address - Street 1:1017 E BASIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4532
Practice Address - Country:US
Practice Address - Phone:775-751-0444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-31
Last Update Date:2017-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP0220101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health