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General NPI Number Information
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NPI Number | 1508220237
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Entity Type | Organization
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Legal Business Name | AMBER ELLIOTT LMFT LLC
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Dates
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Enumeration Date | 04/08/2016
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Last Update Date | 04/08/2016
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Provider Practice Location Address
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Address Line | 600 WHITNEY RANCH DR SUITE A5A
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City | HENDERSON
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State | NV
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Zip | 89014-2611
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Country | US
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Telephone | 702-340-0551
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Fax |
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Provider Business Mailing Address
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Address Line | 2654 W HORIZON RIDGE PKWY STE. B5-194
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City | HENDERSON
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State | NV
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Zip | 89052-2803
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Country | US
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Telephone | 702-523-2636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AMBER LOUISE ELLIOTT
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Credential | LMFT
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Telephone | 702-340-0551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 01333
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License Number State | NV
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