Provider Demographics
NPI:1689920597
Name:SIMONS, AMBER FAY (LPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:FAY
Last Name:SIMONS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:HIGHTOWER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:250 GEORGIA AVE SE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30312-3046
Mailing Address - Country:US
Mailing Address - Phone:404-653-0374
Mailing Address - Fax:404-653-0375
Practice Address - Street 1:250 GEORGIA AVE SE
Practice Address - Street 2:SUITE 206
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30312-3046
Practice Address - Country:US
Practice Address - Phone:404-653-0374
Practice Address - Fax:404-653-0375
Is Sole Proprietor?:No
Enumeration Date:2012-07-28
Last Update Date:2012-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional