Provider Demographics
NPI:1982364840
Name:AMITRANO, JAMIE MARIE (LMFT)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:MARIE
Last Name:AMITRANO
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:MARIE
Other - Last Name:MAHONEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
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:
Is Sole Proprietor?:No
Enumeration Date:2021-12-20
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARF2408002106H00000X
IN35002424A106H00000X
IL166.001728106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist