Provider Demographics
NPI:1861779548
Name:HERRING, AMBER NICOLE (LMFT, LAC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:NICOLE
Last Name:HERRING
Suffix:
Gender:F
Credentials:LMFT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13659 E 104TH AVE UNIT 650
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-9477
Mailing Address - Country:US
Mailing Address - Phone:303-519-2133
Mailing Address - Fax:
Practice Address - Street 1:13659 E 104TH AVE UNIT 650
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-9477
Practice Address - Country:US
Practice Address - Phone:303-519-2133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
COMFT.0001237101YM0800X
COACD.0001072101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health