Healthcare Provider Details
I. General information
NPI: 1245154707
Provider Name (Legal Business Name): AMBER NORMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8735 DUNWOODY PL
SANDY SPRINGS GA
30350-2995
US
IV. Provider business mailing address
8735 DUNWOODY PL
SANDY SPRINGS GA
30350-2995
US
V. Phone/Fax
- Phone: 404-585-8245
- Fax:
- Phone: 404-585-8245
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MH15133 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | LPC015787 |
| License Number State | GA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: