Amber Brisa Moss
Mental Health Counselor
922 Sw Baya Dr
Lake City
, Florida 32025-4209
Amber Brisa Moss
Mental Health Counselor
922 Sw Baya Dr
Lake City
, Florida 32025-4209
(508) 254-5807
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Amber Brisa Moss
- 20251 E Levy St
- Williston, FL
- Zip : 32696-7375
- Phone : (508) 254-5807
Second Address
- Amber Brisa Moss
- 922 Sw Baya Dr
- Lake City, FL
- Zip : 32025-4209
- Fax : (386) 754-9017
- Phone : (386) 754-9005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | IMH11197 | FL |
National Provider Identifier
| NPI | 1003244971 |
|---|---|
| Provider Name | Amber Brisa Moss |
| First Address | Williston, FL 32696-7375 |
| Second Address | Lake City, FL 32025-4209 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/10/2013 |
| Last Update Date | 31/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.