Provider Demographics
NPI:1801404488
Name:LEHRBURGER, AMARA SNYDER
Entity Type:Individual
Prefix:
First Name:AMARA
Middle Name:SNYDER
Last Name:LEHRBURGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1606 LONGBOW CT
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CO
Mailing Address - Zip Code:80026-1916
Mailing Address - Country:US
Mailing Address - Phone:970-682-4797
Mailing Address - Fax:
Practice Address - Street 1:1606 LONGBOW CT
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026-1916
Practice Address - Country:US
Practice Address - Phone:970-682-4797
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-20
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO09929765101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health