Organization
AMBER CROSS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER NICOLE TAYLOR LPC (OWNER/LPC)
(870) 925-0587
Entity
Organization
Contact information
Practice address
311 MAIN STREET, AMITY, AR 71921
(870) 925-0587
Mailing address
960 NORTH 8TH, ARKADELPHIA, AR 71923
(870) 925-0587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
P1402015
AR
101YP2500X
Professional Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
263918719
—
AR
Enumeration date
10/26/2016
Last updated
06/15/2021
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