Provider Demographics
NPI:1053118711
Name:MARTINEZ, AMBER-LEA MICHELLE FIEDLER (MS, LPC-ASSOCIATE)
Entity type:Individual
Prefix:
First Name:AMBER-LEA
Middle Name:MICHELLE FIEDLER
Last Name:MARTINEZ
Suffix:
Gender:
Credentials:MS, LPC-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2280 HIGHLAND VILLAGE RD STE 150
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND VILLAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-7184
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2280 HIGHLAND VILLAGE RD STE 150
Practice Address - Street 2:
Practice Address - City:HIGHLAND VILLAGE
Practice Address - State:TX
Practice Address - Zip Code:75077-7184
Practice Address - Country:US
Practice Address - Phone:972-498-1307
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX87213101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor