Healthcare Provider Details

I. General information

NPI: 1831643766
Provider Name (Legal Business Name): AMBER LERNER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 11/04/2021
Certification Date: 11/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 W 84TH AVE
WESTMINSTER CO
80031-3807
US

IV. Provider business mailing address

1870 W 122ND AVE STE 100
WESTMINSTER CO
80234-2075
US

V. Phone/Fax

Practice location:
  • Phone: 303-853-3500
  • Fax: 303-853-3702
Mailing address:
  • Phone: 303-853-3500
  • Fax: 303-853-3702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC.0017610
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: