MEDICARE: AMBRIA L CUNNINGHAM

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
1	101YP2500X	Professional Counselor	LPC010460	GA

General Provider Information

NPI Number	:	1447696232
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMBRIA L CUNNINGHAM

Provider Business Mailing Address
First Line	:	1605 CHANTILLY DR NE STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3277
Country	:	US
Telephone Number	:	404-785-7878
Fax Number	:

Provider Business Practice Location Address
First Line	:	1605 CHANTILLY DR NE STE 110
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-3277
Country	:	US
Telephone Number	:	404-785-7878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2013
Last Update Date	:	01/16/2026

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Directions to “ AMBRIA L CUNNINGHAM ” Practice Location

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