Amber Avance I, M.S.,LPC-INTERN
Individual provider Active NPI Professional Counselor · Midlothian, TX
NPI 1760811756 · NPPES record last updated Nov 11, 2013
Key facts
- NPI
- 1760811756
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 65294 (TX)
- Practice address
- 408 W Avenue F
Midlothian, TX 76065-2963 - Phone
- (972) 723-0044
- Fax
- (972) 775-2002
- NPI assigned
- Nov 11, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65294 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Counseling Assoicates, Inc. | Professional | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 65294 | TX | Yes |
Addresses
Primary practice location
408 W Avenue F
Midlothian, TX 76065-2963
Mailing address
408 W Avenue F
Midlothian, TX 76065-2963
Phone (972) 723-0044
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65294 | Other | TX | TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS |
Other providers in Midlothian, TX
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- Atlet Medical PLLC
- Patchika M Aubourg
- Audiological Services of Ellis County
- Esther Olayinka Awosogba
- Badge and Bandage LLC
- Adrian Baeza
- Paxton Barber
- Amy Barton
All providers in Midlothian, TX · Professional Counselor in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.