Provider Demographics
NPI:1982163549
Name:AMORE AWARE LLC
Entity Type:Organization
Organization Name:AMORE AWARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:YASAMAN
Authorized Official - Middle Name:NAFISI
Authorized Official - Last Name:PARSI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:480-216-5007
Mailing Address - Street 1:6900 E PRINCESS DR UNIT 1214
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-4110
Mailing Address - Country:US
Mailing Address - Phone:480-216-5007
Mailing Address - Fax:
Practice Address - Street 1:6900 E PRINCESS DR UNIT 1214
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-4110
Practice Address - Country:US
Practice Address - Phone:480-216-5007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)