Provider / Organization | NPI | Date Certified |
---|---|---|
AMBER LEIGH AXLINE | 1649897877 | 2020-07-03 |
Amber Leigh Axline is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649897877. Registration indicates Amber Leigh Axline is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Amber Leigh Axline LMSW |
Practice Office Address | 1901 VETERANS MEMORIAL DR TEMPLE, TX US |
Practice Office Telephone | 2547784811 |
Mailing Address | 702 BLACK HILLS TRL HARKER HEIGHTS, TX 765482432 US |
Business Telephone | 2142089608 |
Code | Practice | License No State |
---|---|---|
104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 69423
TX |