Provider Demographics
NPI:1275831174
Name:DAVIS, AMBER CRIGGER (MA, LPCC, LPC-MHSP,)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:CRIGGER
Last Name:DAVIS
Suffix:
Gender:F
Credentials:MA, LPCC, LPC-MHSP,
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:DIANE
Other - Last Name:CRIGGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:942 SEARCY WAY
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:KY
Mailing Address - Zip Code:42103
Mailing Address - Country:US
Mailing Address - Phone:270-781-8112
Mailing Address - Fax:270-781-8114
Practice Address - Street 1:942 SEARCY WAY
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:KY
Practice Address - Zip Code:42103
Practice Address - Country:US
Practice Address - Phone:270-781-8112
Practice Address - Fax:270-781-8114
Is Sole Proprietor?:No
Enumeration Date:2011-03-02
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1499LPCC101YM0800X
TN2909LPC-MHSP101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health