Healthcare Provider Details

I. General information

NPI: 1700265501
Provider Name (Legal Business Name): AMBERLY R FIERSTINE LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2015
Last Update Date: 10/10/2026
Certification Date: 10/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

770 PONDEROSA DR
WINDSOR CO
80550-5460
US

IV. Provider business mailing address

770 PONDEROSA DR
WINDSOR CO
80550-5460
US

V. Phone/Fax

Practice location:
  • Phone: 970-682-3947
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: