Provider Demographics
NPI:1598311474
Name:MCWHA, AMBER JASMINE
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:JASMINE
Last Name:MCWHA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:JASMINE
Other - Last Name:FRENCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:TRUMPET BEHAVIROAL HEALTH
Mailing Address - Street 2:390 UNION BLVD STE 300
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-6514
Mailing Address - Country:US
Mailing Address - Phone:720-534-4221
Mailing Address - Fax:
Practice Address - Street 1:TRUMPET BEHAVIROAL HEALTH
Practice Address - Street 2:390 UNION BLVD STE 300
Practice Address - City:LAKEWOOD
Practice Address - State:CA
Practice Address - Zip Code:80228-6514
Practice Address - Country:US
Practice Address - Phone:720-534-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-15
Last Update Date:2019-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
106S00000X
CO106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianGroup - Single Specialty