Provider Demographics
NPI:1790238525
Name:BELLE, AMBER (LMSW)
Entity Type:Individual
Prefix:MS
First Name:AMBER
Middle Name:
Last Name:BELLE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 CAMDEN HILL RD
Mailing Address - Street 2:STE A
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-2448
Mailing Address - Country:US
Mailing Address - Phone:770-513-8988
Mailing Address - Fax:
Practice Address - Street 1:190 CAMDEN HILL RD
Practice Address - Street 2:STE A
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-2448
Practice Address - Country:US
Practice Address - Phone:770-513-8988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-28
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMSW006527104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker