Provider Demographics
NPI:1902598436
Name:ARMS, ANDA RELAINE (LMSW)
Entity Type:Individual
Prefix:
First Name:ANDA
Middle Name:RELAINE
Last Name:ARMS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:618 COMMERCIAL ST STE A
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:KS
Mailing Address - Zip Code:66801-3970
Mailing Address - Country:US
Mailing Address - Phone:800-279-9914
Mailing Address - Fax:877-942-2239
Practice Address - Street 1:416 S MAIN ST
Practice Address - Street 2:
Practice Address - City:OTTAWA
Practice Address - State:KS
Practice Address - Zip Code:66067-2334
Practice Address - Country:US
Practice Address - Phone:877-942-2239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker