Provider Demographics
NPI:1114305125
Name:AMBROSE COUNSELING AND CONSULTING SERVICES LLC
Entity Type:Organization
Organization Name:AMBROSE COUNSELING AND CONSULTING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:SHANTEL
Authorized Official - Last Name:AMBROSE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LPC
Authorized Official - Phone:504-218-3731
Mailing Address - Street 1:PO BOX 641846
Mailing Address - Street 2:
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70064-1846
Mailing Address - Country:US
Mailing Address - Phone:504-218-3731
Mailing Address - Fax:504-734-3171
Practice Address - Street 1:1529 RIVER OAKS RD W
Practice Address - Street 2:SUITE 119
Practice Address - City:HARAHAN
Practice Address - State:LA
Practice Address - Zip Code:70123-2162
Practice Address - Country:US
Practice Address - Phone:504-218-3731
Practice Address - Fax:504-734-3171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health