Provider Demographics
NPI:1750832978
Name:COTE, AMBER (MA, LPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:COTE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:SANTACROCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 86
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:RI
Mailing Address - Zip Code:02829-0086
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:19 S WALNUT ST
Practice Address - Street 2:SUITE D
Practice Address - City:WAUREGAN
Practice Address - State:CT
Practice Address - Zip Code:06387
Practice Address - Country:US
Practice Address - Phone:860-771-9989
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CT3570101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health