Healthcare Provider Details

I. General information

NPI: 1801406574
Provider Name (Legal Business Name): AMBER LYNN DINGESS MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/06/2020
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 HALE ST STE 200
CHARLESTON WV
25301-2830
US

IV. Provider business mailing address

PO BOX 1061
CHAPMANVILLE WV
25508-1061
US

V. Phone/Fax

Practice location:
  • Phone: 304-785-4614
  • Fax:
Mailing address:
  • Phone: 304-785-4614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: