1164180220 NPI number — MRS. PATIENCE AMBER HERVEY LMFT, NCSP, PPS

Table of content: MRS. PATIENCE AMBER HERVEY LMFT, NCSP, PPS (NPI 1164180220)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164180220 NPI number — MRS. PATIENCE AMBER HERVEY LMFT, NCSP, PPS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HERVEY
Provider First Name:
PATIENCE
Provider Middle Name:
AMBER
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LMFT, NCSP, PPS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164180220
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/12/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1870 BIRD ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
OROVILLE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95965-4855
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-532-5849
Provider Business Mailing Address Fax Number:
530-532-5920

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1859 BIRD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OROVILLE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95965-4854
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-532-5849
Provider Business Practice Location Address Fax Number:
530-532-5920
Provider Enumeration Date:
12/06/2021

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103TS0200X , with the licence number:  NCSP41372 ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 106H00000X , with the licence number: LMFT106363 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com