| Ambitious Soule L.l.c | |
|
10725 Fern Pl Jamaica NY 11433-2598 | |
| (201) 357-7181 | |
| Not Available |
| Full Name | Ambitious Soule L.l.c |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10725 Fern Pl, Jamaica, New York |
| Authorized Official Name and Position | Dominique Parker (CASAC-T) |
| Authorized Official Contact | 9293938273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ambitious Soule L.l.c 288 Park Ave S Pmb 153925 New York NY 10003 Ph: () - | Ambitious Soule L.l.c 10725 Fern Pl Jamaica NY 11433-2598 Ph: (201) 357-7181 |
| NPI Number | 1851239693 |
|---|---|
| Provider Enumeration Date | 03/23/2026 |
| Last Update Date | 03/23/2026 |
| Certification Date | 03/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851239693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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