Healthcare Provider Details

I. General information

NPI: 1144698002
Provider Name (Legal Business Name): AMBER LEANNE WHITE-LABEE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2015
Last Update Date: 12/21/2022
Certification Date: 12/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4625 LINDELL BLVD STE 200&300
SAINT LOUIS MO
63108-3725
US

IV. Provider business mailing address

4625 LINDELL BLVD STE 200&300
SAINT LOUIS MO
63108-3725
US

V. Phone/Fax

Practice location:
  • Phone: 844-843-7279
  • Fax:
Mailing address:
  • Phone: 844-843-7279
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2019025756
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: