# AMBIMISTIC COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619720554
- **Authorized official:** THEODORE MEYER LPC (OWNER)
- **Authorized official phone:** (610) 999-9157

## Contact information

- **Practice address:** 108 UPLAND TER, BALA CYNWYD, PA 19004-3127
- **Practice address phone:** (610) 999-9157
- **Mailing address:** 108 UPLAND TER, BALA CYNWYD, PA 19004-3127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/10/2024
- **Last updated:** 04/10/2024