Provider Demographics
NPI:1689084691
Name:HARWELL, AMBER DAWN (MA)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:DAWN
Last Name:HARWELL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 66726
Mailing Address - Street 2:LIFE SKILLS D/B/A TOUCHPOINT AUTISM SERVICES
Mailing Address - City:ST LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63166
Mailing Address - Country:US
Mailing Address - Phone:314-432-6200
Mailing Address - Fax:
Practice Address - Street 1:10176 CORPORATE SQUARE DRIVE SUITE 150
Practice Address - Street 2:LIFE SKILLS D/B/A TOUCHPOINT AUTISM SERVICES
Practice Address - City:ST LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132
Practice Address - Country:US
Practice Address - Phone:314-432-6200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2013032131103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst