Individual
MS. AMBER FORTENBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2710 ALICE BELL RD, KNOXVILLE, TN 37917-1911
(865) 214-7749
Mailing address
131 LYNNWOOD DR UNIT 18343, KNOXVILLE, TN 37928-5054
(865) 214-7749
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6972
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q050875
—
TN
Enumeration date
01/02/2014
Last updated
01/10/2021
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