Provider Demographics
NPI:1396031118
Name:QUARANTA-LEECH, AMBER DENAE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:DENAE
Last Name:QUARANTA-LEECH
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:880 PROSPECTOR TRL STE 100
Mailing Address - Street 2:
Mailing Address - City:HARKER HEIGHTS
Mailing Address - State:TX
Mailing Address - Zip Code:76548-2700
Mailing Address - Country:US
Mailing Address - Phone:542-690-1512
Mailing Address - Fax:
Practice Address - Street 1:880 PROSPECTOR TRL STE 100
Practice Address - Street 2:
Practice Address - City:HARKER HEIGHTS
Practice Address - State:TX
Practice Address - Zip Code:76548-2700
Practice Address - Country:US
Practice Address - Phone:254-690-1512
Practice Address - Fax:254-690-1532
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-20
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65461101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional