Provider Demographics
NPI:1689299893
Name:HORWITZ, AMBER THIBODEAU (LLMSW)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:THIBODEAU
Last Name:HORWITZ
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:HORWITZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LLMSW
Mailing Address - Street 1:5340 PLYMOUTH RD STE 210
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48105-9559
Mailing Address - Country:US
Mailing Address - Phone:734-335-4747
Mailing Address - Fax:
Practice Address - Street 1:5340 PLYMOUTH RD STE 210
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48105-9559
Practice Address - Country:US
Practice Address - Phone:734-335-4747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-12
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011071651041C0700X
MI68011147521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical