Provider Demographics
NPI:1437381282
Name:MCNEES, AMBER DANELLE (MHPP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:DANELLE
Last Name:MCNEES
Suffix:
Gender:F
Credentials:MHPP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:DANELLE
Other - Last Name:MOREY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHPP
Mailing Address - Street 1:3352 N FUTRALL DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72703-4057
Mailing Address - Country:US
Mailing Address - Phone:479-521-1427
Mailing Address - Fax:479-521-6520
Practice Address - Street 1:400 E HIGHWAY 43
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:AR
Practice Address - Zip Code:72601-6514
Practice Address - Country:US
Practice Address - Phone:870-391-3871
Practice Address - Fax:870-391-3874
Is Sole Proprietor?:No
Enumeration Date:2009-08-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator