Provider Demographics
NPI:1235892654
Name:AMBERS, E'MON ARNA (MSW LMHP-S ,QMHP-C/A)
Entity Type:Individual
Prefix:
First Name:E'MON
Middle Name:ARNA
Last Name:AMBERS
Suffix:
Gender:F
Credentials:MSW LMHP-S ,QMHP-C/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3112 MACALLAN PKWY
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-7274
Mailing Address - Country:US
Mailing Address - Phone:804-833-7674
Mailing Address - Fax:
Practice Address - Street 1:3112 MACALLAN PKWY
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-7274
Practice Address - Country:US
Practice Address - Phone:804-833-7674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0733000389101YM0800X
VA0732004322101YM0800X
VA09060100141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health