Organization
AMBER SCREEN THE EDUCATOR
Active
Other names
The Place
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER V SCREEN LMHC (PRESIDENT)
(863) 777-3869
Entity
Organization
Contact information
Practice address
211 DORIS DR, LAKELAND, FL 33813-1006
(863) 777-3869
Mailing address
PO BOX 982, BARTOW, FL 33831-0982
(863) 777-3869
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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