Healthcare Provider Details

I. General information

NPI: 1780920330
Provider Name (Legal Business Name): AMBER PARRIS LAMBERTH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/28/2012
Last Update Date: 12/28/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2868 ACTON ROAD
BIRMINGHAM AL
35243
US

IV. Provider business mailing address

2868 ACTON ROAD
BIRMINGHAM AL
35243
US

V. Phone/Fax

Practice location:
  • Phone: 205-968-8360
  • Fax: 205-968-8361
Mailing address:
  • Phone: 205-968-8550
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number2498C
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: