Healthcare Provider Details

I. General information

NPI: 1962703868
Provider Name (Legal Business Name): AMBER M HASTY MILLS PSY.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AMBER M HASTY M.S.

II. Dates (important events)

Enumeration Date: 11/09/2010
Last Update Date: 10/16/2023
Certification Date: 10/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 GLENWOOD LN
BIRMINGHAM AL
35242-5700
US

IV. Provider business mailing address

150 GLENWOOD LN
BIRMINGHAM AL
35242-5700
US

V. Phone/Fax

Practice location:
  • Phone: 205-969-2880
  • Fax: 205-967-1323
Mailing address:
  • Phone: 205-969-2880
  • Fax: 205-967-1323

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number1968
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: