Provider Demographics
NPI:1255126728
Name:TESCHENDORF, AMBER NICOLE (LPC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:NICOLE
Last Name:TESCHENDORF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 SOUTHPOINTE CT STE 105
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-3800
Mailing Address - Country:US
Mailing Address - Phone:281-912-9266
Mailing Address - Fax:
Practice Address - Street 1:810 VONDELPARK DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4054
Practice Address - Country:US
Practice Address - Phone:281-912-9266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-14
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX89590101YP2500X
COLPC.0022160101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional