Provider Demographics
NPI:1801225172
Name:AMBS, OLIVIA (LMHC)
Entity Type:Individual
Prefix:
First Name:OLIVIA
Middle Name:
Last Name:AMBS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:
Other - Last Name:RICHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2700 WESTHALL LN STE 110
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7403
Mailing Address - Country:US
Mailing Address - Phone:407-475-1025
Mailing Address - Fax:407-475-1027
Practice Address - Street 1:2700 WESTHALL LN STE 110
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7403
Practice Address - Country:US
Practice Address - Phone:407-475-1025
Practice Address - Fax:407-475-1027
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2017-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health