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NPI Code Detail

MEDICARE: AMBER LEWIS GOLDEN LPC

MEDICARE: AMBER LEWIS GOLDEN LPC
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
1221700000XArt Therapist17-175VA
2101YP2500XProfessional Counselor0701010191VA

General Provider Information

NPI Number : 1285222117
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER LEWIS GOLDEN LPC
Provider Business Mailing Address
First Line : 8401 MAYLAND DR STE S
Second Line :
City : RICHMOND
State : VA
Zip : 23294-4648
Country : US
Telephone Number : 804-592-6210
Fax Number :
Provider Business Practice Location Address
First Line : 4337 COX RD
Second Line :
City : GLEN ALLEN
State : VA
Zip : 23060-3359
Country : US
Telephone Number : 804-277-9877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2021
Last Update Date : 03/19/2025

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