Provider Demographics
NPI:1386064772
Name:THIRKILL, AMBER
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:THIRKILL
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:PO BOX 887
Mailing Address - Street 2:
Mailing Address - City:BRIGHAM CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84302-0887
Mailing Address - Country:US
Mailing Address - Phone:435-723-1799
Mailing Address - Fax:435-723-2521
Practice Address - Street 1:2243 N HWY 89 TRLR 70
Practice Address - Street 2:
Practice Address - City:PLEASANT VIEW
Practice Address - State:UT
Practice Address - Zip Code:84404-2662
Practice Address - Country:US
Practice Address - Phone:801-645-7384
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor