Ambroise, Mathilde

Ambroise, Mathilde is an individual health care provider with primary practice located at 10800 N Military Trl Suite 223, Palm Beach Gardens FL 33410-6500. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ambroise, Mathilde can be contacted via phone (561) 515-5347.

Contact Information

Primary practice address
10800 N Military Trl Suite 223 Palm Beach Gardens FL 33410-6500
Phone: (561) 515-5347
Fax: (561) 404-4147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X IMT 1901 Florida

Profile Details

NPI number 1457765745
LBN Legal business name Ambroise, Mathilde
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2014
Last updated Jun 16th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457765745 NPPES
Florida Other IMT 1901 DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

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