Provider Demographics
NPI:1740645753
Name:MOYO, AMBER (MA, LPC-MHSP-S)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:MOYO
Suffix:
Gender:F
Credentials:MA, LPC-MHSP-S
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:LOPEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC-MHSP
Mailing Address - Street 1:1608 WILLIAMS DR STE 301
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-3195
Mailing Address - Country:US
Mailing Address - Phone:615-653-4115
Mailing Address - Fax:615-413-9995
Practice Address - Street 1:1608 WILLIAMS DR STE 301
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-3195
Practice Address - Country:US
Practice Address - Phone:615-653-4115
Practice Address - Fax:615-413-9995
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-17
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4582101YP2500X
COLPC.0020904101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional