Leichtle, Amber
Leichtle, Amber is an sole proprietor health care provider with primary practice located at 1122 Industrial Park Rd , Espanola NM 87532-3453. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Leichtle, Amber can be contacted via phone (505) 753-3143.Contact Information
Primary practice address
1122 Industrial Park Rd
Espanola NM 87532-3453
Phone: (505) 753-3143
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0071001 | New Mexico |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | M-04710 | New Mexico |
Profile Details
| NPI number | 1699009571 |
|---|---|
| LBN Legal business name | Leichtle, Amber |
| Credentials | LMSW LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2009 |
| Last updated | Sep 25th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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