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NPI Code Detail

MEDICARE: AMBER LEIGH MENDOZA LLPC

MEDICARE: AMBER LEIGH MENDOZA LLPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor6451024763MI

General Provider Information

NPI Number : 1174485833
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LEIGH MENDOZA LLPC
Provider Business Mailing Address
First Line : 50688 RED IVY DR
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48047-2615
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 50688 RED IVY DR
Second Line :
City : CHESTERFIELD
State : MI
Zip : 48047-2615
Country : US
Telephone Number : 361-655-1217
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ AMBER LEIGH MENDOZA LLPC” Practice Location

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