Healthcare Provider Details

I. General information

NPI: 1710740857
Provider Name (Legal Business Name): AMBER SHEFFIELD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 S DAKOTA AVE STE 4
TAMPA FL
33606-2579
US

IV. Provider business mailing address

2340 AVENUE RD
COLQUITT GA
39837-6624
US

V. Phone/Fax

Practice location:
  • Phone: 813-812-4319
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC05740
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH27383
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: