Provider Demographics
NPI:1962264846
Name:CAMBRE, AMANDA MARIE (MS, PLPC)
Entity type:Individual
Prefix:MS
First Name:AMANDA
Middle Name:MARIE
Last Name:CAMBRE
Suffix:
Gender:F
Credentials:MS, PLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:615 CHEVELLE CT
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-6502
Mailing Address - Country:US
Mailing Address - Phone:225-302-0212
Mailing Address - Fax:
Practice Address - Street 1:615 CHEVELLE CT
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-6502
Practice Address - Country:US
Practice Address - Phone:225-302-0212
Practice Address - Fax:225-303-0216
Is Sole Proprietor?:No
Enumeration Date:2024-01-26
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA10026171M00000X
LAPLC10026171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator