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NPI Code Detail

MEDICARE: AMBER FAITHE LANCASTER LPC, LMHC

MEDICARE: AMBER FAITHE LANCASTER LPC, LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor2011041049MO
2103TC2200XClinical Child & Adolescent Psychologist
3101YM0800XMental Health CounselorMH19637FL

General Provider Information

NPI Number : 1063531739
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER FAITHE LANCASTER LPC, LMHC
Provider Business Mailing Address
First Line : 2309 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-6345
Country : US
Telephone Number : 850-747-5272
Fax Number :
Provider Business Practice Location Address
First Line : 2309 E 15TH ST
Second Line :
City : PANAMA CITY
State : FL
Zip : 32405-6345
Country : US
Telephone Number : 850-747-5272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 06/20/2023

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Directions to “ AMBER FAITHE LANCASTER LPC, LMHC” Practice Location

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