Ambush, Latonia Michelle

Ambush, Latonia Michelle is an individual health care provider with primary practice located at 17 S De Villiers St , Pensacola FL 32502-5511. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Ambush, Latonia Michelle can be contacted via phone (850) 266-2700.

Contact Information

Primary practice address
17 S De Villiers St Pensacola FL 32502-5511
Phone: (850) 266-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X MH21748 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MH21748 Florida

Profile Details

NPI number 1508161852
LBN Legal business name Ambush, Latonia Michelle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2011
Last updated Nov 20th, 2023 - about last year

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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