Organization
AMBITIOUS SOULE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE PARKER (CASAC-T)
(929) 393-8273
Entity
Organization
Contact information
Practice address
10725 FERN PL, JAMAICA, NY 11433-2598
(201) 357-7181
Mailing address
288 PARK AVE S PMB 153925, NEW YORK, NY 10003
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/23/2026
Last updated
03/23/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us