# COUNSELING OFFICE OF YOUNTINA AMBIS LLC

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

## Provider details

- **NPI number:** 1972112944
- **Authorized official:** YOUNTINA ANNE AMBIS LCSW, CADC, BCN (OWNER/EMPLOYEE)
- **Authorized official phone:** (702) 328-1986

## Contact information

- **Practice address:** 4580 S EASTERN AVE STE 33, LAS VEGAS, NV 89119-6100
- **Practice address phone:** (702) 241-2472
- **Mailing address:** 4580 S EASTERN AVE STE 33, LAS VEGAS, NV 89119-6100
- **Mailing address phone:** (702) 328-1986
- **Mailing address fax:** (702) 825-2598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |
| 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