Provider Demographics
NPI:1700271251
Name:AMBER KUNTZ PSYCHIATRY
Entity Type:Organization
Organization Name:AMBER KUNTZ PSYCHIATRY
Other - Org Name:AMBER KUNTZ COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:KUNTZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS
Authorized Official - Phone:940-535-4375
Mailing Address - Street 1:1704 ANDREW CT
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:TX
Mailing Address - Zip Code:76210-3074
Mailing Address - Country:US
Mailing Address - Phone:940-535-4375
Mailing Address - Fax:
Practice Address - Street 1:1704 ANDREW CT
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:TX
Practice Address - Zip Code:76210-3074
Practice Address - Country:US
Practice Address - Phone:940-535-4375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-01
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8501103TP0016X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0016XBehavioral Health & Social Service ProvidersPsychologistPrescribing (Medical)Group - Single Specialty