Provider Demographics
NPI:1831719491
Name:ADAMS, AMBER LYNN (LPC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LYNN
Last Name:ADAMS
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:PO BOX 434
Mailing Address - Street 2:
Mailing Address - City:WHITE DEER
Mailing Address - State:TX
Mailing Address - Zip Code:79097-0434
Mailing Address - Country:US
Mailing Address - Phone:806-318-9228
Mailing Address - Fax:
Practice Address - Street 1:529 N HOBART ST
Practice Address - Street 2:
Practice Address - City:PAMPA
Practice Address - State:TX
Practice Address - Zip Code:79065-6144
Practice Address - Country:US
Practice Address - Phone:806-318-9228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-23
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YP2500X
TX90270101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional