Provider Demographics
NPI:1447989363
Name:ABELL, AMBER LARIE (LGPC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LARIE
Last Name:ABELL
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47721 DEVIN CIR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-2432
Mailing Address - Country:US
Mailing Address - Phone:301-997-3915
Mailing Address - Fax:240-309-4131
Practice Address - Street 1:44101 AIRPORT VIEW DR
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:MD
Practice Address - Zip Code:20636-3145
Practice Address - Country:US
Practice Address - Phone:301-373-3065
Practice Address - Fax:240-309-4160
Is Sole Proprietor?:No
Enumeration Date:2022-06-07
Last Update Date:2022-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLG12689101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional