# AMBLER COUNSELING CENTER, LLC

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

## Provider details

- **NPI number:** 1720712094
- **Authorized official:** EDWARD BRUNTON (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (267) 664-0734

## Contact information

- **Practice address:** 416 N SPRING GARDEN ST, AMBLER, PA 19002-3414
- **Practice address phone:** (267) 664-0734
- **Mailing address:** 416 N SPRING GARDEN ST, AMBLER, PA 19002-3414

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 133V00000X | Registered Dietitian | — | NULL | — |
| 133V00000X | Registered Dietitian | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/13/2022
- **Last updated:** 07/13/2022