Provider Demographics
NPI:1245695626
Name:HARRIS, AMBER LEE (LCSW)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:LEE
Last Name:HARRIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4207 WAVERLY AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79762-5836
Mailing Address - Country:US
Mailing Address - Phone:432-266-3561
Mailing Address - Fax:
Practice Address - Street 1:8701 W COUNTY ROAD 60
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79707-1307
Practice Address - Country:US
Practice Address - Phone:432-694-7728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-29
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical