Provider Demographics
NPI:1568829166
Name:MYERS, AMBER DAWN (MPC,MAC,LMHC,SUDP)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:DAWN
Last Name:MYERS
Suffix:
Gender:F
Credentials:MPC,MAC,LMHC,SUDP
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:DAWN
Other - Last Name:MYERS'MACKEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPC,MAC,LMHC,SUDP
Mailing Address - Street 1:PO BOX 748465
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-8465
Mailing Address - Country:US
Mailing Address - Phone:855-284-7483
Mailing Address - Fax:360-353-9440
Practice Address - Street 1:1000 JEFFERSON ST STE 2C
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24513-2506
Practice Address - Country:US
Practice Address - Phone:855-284-7483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-01-27
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60264413101YA0400X
WALH61431949101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)