Provider Demographics
NPI:1902571730
Name:CALHOUN, AMBER ELAINE
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:ELAINE
Last Name:CALHOUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 CAMERON LANDING DR
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6858
Mailing Address - Country:US
Mailing Address - Phone:704-287-7229
Mailing Address - Fax:
Practice Address - Street 1:4470 CHAMBLEE DUNWOODY RD STE 100
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6226
Practice Address - Country:US
Practice Address - Phone:678-259-9298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-13
Last Update Date:2021-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor