Provider Demographics
NPI:1093691859
Name:CLAY, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:CLAY
Suffix:
Gender:X
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 VANDERBILT CT
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-5206
Mailing Address - Country:US
Mailing Address - Phone:916-458-2210
Mailing Address - Fax:
Practice Address - Street 1:810 VANDERBILT CT
Practice Address - Street 2:
Practice Address - City:EL DORADO HILLS
Practice Address - State:CA
Practice Address - Zip Code:95762-5206
Practice Address - Country:US
Practice Address - Phone:916-458-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-15
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty