Provider Demographics
NPI:1366187692
Name:LEHRLING, AMANDA (COUNSELOR)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:LEHRLING
Suffix:
Gender:F
Credentials:COUNSELOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2437 N STONE AVE
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85705-4528
Mailing Address - Country:US
Mailing Address - Phone:520-624-0250
Mailing Address - Fax:520-623-7909
Practice Address - Street 1:2437 N STONE AVE
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85705-4528
Practice Address - Country:US
Practice Address - Phone:520-624-0250
Practice Address - Fax:520-623-7909
Is Sole Proprietor?:No
Enumeration Date:2022-05-02
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)