Wilder, Amber N
Wilder, Amber N is an sole proprietor health care provider with primary practice located at 325 N Gibson Rd Apt 815 , Henderson NV 89014-6734. She recently has 4 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 / Professional, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Wilder, Amber N can be contacted via phone (620) 804-2942.Contact Information
Primary practice address
325 N Gibson Rd Apt 815
Henderson NV 89014-6734
Phone: (620) 804-2942
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Kansas | |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3114 | Kansas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 3172 | Kansas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | CP3252-R | Nevada |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | LAC-1266 | Kansas |
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1942574512 |
|---|---|
| LBN Legal business name | Wilder, Amber N |
| Credentials | LCPC, LAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 29th, 2012 |
| Last updated | Oct 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942574512 | NPPES |
| Kansas | MEDICAID | 201167420A | |
| Kansas | MEDICAID | 250012412 |
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