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NPI Code Detail

MEDICARE: AMBER EILEENE HUDSON

MEDICARE:   AMBER EILEENE HUDSON
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1235029588
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER EILEENE HUDSON
Provider Business Mailing Address
First Line : 3519 PELHAM RD STE 107
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4182
Country : US
Telephone Number : 864-735-1062
Fax Number :
Provider Business Practice Location Address
First Line : 3519 PELHAM RD STE 101
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4182
Country : US
Telephone Number : 864-735-1062
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2025
Last Update Date : 07/08/2025

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Directions to “ AMBER EILEENE HUDSON ” Practice Location

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