Provider Demographics
NPI:1750964045
Name:ENSIGN, AMBER M (LPC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:M
Last Name:ENSIGN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3710 ROGENE ST
Mailing Address - Street 2:
Mailing Address - City:NORTH RICHLAND HILLS
Mailing Address - State:TX
Mailing Address - Zip Code:76180-1510
Mailing Address - Country:US
Mailing Address - Phone:360-431-0622
Mailing Address - Fax:
Practice Address - Street 1:3710 ROGENE ST
Practice Address - Street 2:
Practice Address - City:NORTH RICHLAND HILLS
Practice Address - State:TX
Practice Address - Zip Code:76180-1510
Practice Address - Country:US
Practice Address - Phone:360-431-0622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2021-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX71458101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health