Provider Demographics
NPI:1609617687
Name:MCVEY, AMBER N (LSW)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:N
Last Name:MCVEY
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7700 N STATE ROAD 135
Mailing Address - Street 2:
Mailing Address - City:MORGANTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46160-8990
Mailing Address - Country:US
Mailing Address - Phone:765-346-5785
Mailing Address - Fax:
Practice Address - Street 1:7700 N STATE ROAD 135
Practice Address - Street 2:
Practice Address - City:MORGANTOWN
Practice Address - State:IN
Practice Address - Zip Code:46160-8990
Practice Address - Country:US
Practice Address - Phone:765-346-5785
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-04
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN33012261A101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health