Healthcare Provider Details

I. General information

NPI: 1295020782
Provider Name (Legal Business Name): AMBER KAY JOLEEN SPOTTEN LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/13/2011
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 CEDAR PLAZA PKWY STE 180
SAINT LOUIS MO
63128-3854
US

IV. Provider business mailing address

2233 RIDGLEY WOODS DR
CHESTERFIELD MO
63005-6807
US

V. Phone/Fax

Practice location:
  • Phone: 636-205-2025
  • Fax:
Mailing address:
  • Phone: 636-205-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number2026003608
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: