MEDICARE: AMBER FREEMAN LPC-MHSP

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
1	101YM0800X	Mental Health Counselor	5339	TN

General Provider Information

NPI Number	:	1336548528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBER FREEMAN LPC-MHSP

Provider Business Mailing Address
First Line	:	6339 CHARLOTTE PIKE # 942
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-2926
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6339 CHARLOTTE PIKE # 942
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37209-2926
Country	:	US
Telephone Number	:	615-237-8325
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2014
Last Update Date	:	09/12/2021

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