Provider Demographics
NPI:1033400924
Name:RAHIM, AMBER DENISE (LPCC)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:DENISE
Last Name:RAHIM
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1091 KACIE DR
Mailing Address - Street 2:
Mailing Address - City:PLEASANT VIEW
Mailing Address - State:TN
Mailing Address - Zip Code:37146-3708
Mailing Address - Country:US
Mailing Address - Phone:270-307-1935
Mailing Address - Fax:
Practice Address - Street 1:1091 KACIE DR
Practice Address - Street 2:
Practice Address - City:PLEASANT VIEW
Practice Address - State:TN
Practice Address - Zip Code:37146-3708
Practice Address - Country:US
Practice Address - Phone:270-307-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-26
Last Update Date:2025-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
KY171215101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health