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Organization
COUNSELING OFFICE OF YOUNTINA AMBIS LLC
Active
Organization
COUNSELING OFFICE OF YOUNTINA AMBIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNTINA ANNE AMBIS LCSW, CADC, BCN (OWNER/EMPLOYEE)
(702) 328-1986
Entity
Organization
Contact information
Practice address
4580 S EASTERN AVE STE 33, LAS VEGAS, NV 89119-6100
(702) 241-2472
Mailing address
4580 S EASTERN AVE STE 33, LAS VEGAS, NV 89119-6100
(702) 328-1986
(702) 825-2598
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
Other
Enumeration date
07/27/2020
Last updated
09/16/2022
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