Provider Demographics
NPI:1740862515
Name:AMBER FOX COUNSELING LLC
Entity type:Organization
Organization Name:AMBER FOX COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:FOX
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:205-643-6052
Mailing Address - Street 1:PO BOX 1552
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-1552
Mailing Address - Country:US
Mailing Address - Phone:205-643-6052
Mailing Address - Fax:
Practice Address - Street 1:3705 KEY CIR
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126-2815
Practice Address - Country:US
Practice Address - Phone:205-502-4664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-22
Last Update Date:2021-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty