Provider Demographics
NPI:1194237156
Name:CHAPMAN, AMBER SHAY (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:AMBER
Middle Name:SHAY
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4903 VISTA WEST PKWY
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79705-2578
Mailing Address - Country:US
Mailing Address - Phone:806-392-2803
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:432-694-7728
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-31
Last Update Date:2017-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74658OtherLPC