Provider Demographics
NPI:1386536613
Name:ANDREWS, AMBER MARIE (LAC)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:MARIE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3573 E SANDWICK DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-5056
Mailing Address - Country:US
Mailing Address - Phone:208-589-4826
Mailing Address - Fax:208-589-4826
Practice Address - Street 1:8830 E GERMANN RD BLDG 27
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85212-5521
Practice Address - Country:US
Practice Address - Phone:480-420-6847
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-21
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-21249101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty