Provider Demographics
NPI:1437914579
Name:SILVA, AMBER VENAE (LLMSW)
Entity Type:Individual
Prefix:MISS
First Name:AMBER
Middle Name:VENAE
Last Name:SILVA
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:169 S GROVE ST APT E201
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48198-5692
Mailing Address - Country:US
Mailing Address - Phone:248-602-9581
Mailing Address - Fax:
Practice Address - Street 1:1601 BRIARWOOD CIR STE 400
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1650
Practice Address - Country:US
Practice Address - Phone:734-822-4971
Practice Address - Fax:734-822-4971
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68511157791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical