Provider Demographics
NPI:1982079034
Name:CHAMBLESS, AMBER (MS, EDD, LPC)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:CHAMBLESS
Suffix:
Gender:F
Credentials:MS, EDD, LPC
Other - Prefix:
Other - First Name:AMBER
Other - Middle Name:
Other - Last Name:COURAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5500 GREENWOOD PLAZA BLVD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2104
Mailing Address - Country:US
Mailing Address - Phone:303-396-8869
Mailing Address - Fax:
Practice Address - Street 1:9655 W CHATFIELD AVE UNIT B
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-9207
Practice Address - Country:US
Practice Address - Phone:303-396-8869
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-01
Last Update Date:2019-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0012712101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional