Provider Demographics
NPI:1093485294
Name:REMACKEL, AMBER MARIE
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:REMACKEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 COUNTY RD B W, STE 312
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-4107
Mailing Address - Country:US
Mailing Address - Phone:651-243-0077
Mailing Address - Fax:651-273-2201
Practice Address - Street 1:1611 COUNTY ROAD B W STE 312
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-4107
Practice Address - Country:US
Practice Address - Phone:651-243-0077
Practice Address - Fax:651-273-2201
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-18
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health