Provider Demographics
NPI:1073166435
Name:COLOMBRES, AMOR-LEE
Entity Type:Individual
Prefix:
First Name:AMOR-LEE
Middle Name:
Last Name:COLOMBRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 NEWPORT AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-5623
Mailing Address - Country:US
Mailing Address - Phone:508-226-6031
Mailing Address - Fax:
Practice Address - Street 1:543 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:SOUTH ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-5623
Practice Address - Country:US
Practice Address - Phone:508-226-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-24
Last Update Date:2019-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health