Holly Ambruso
Individual provider Active NPI Mental Health Counselor · Melrose Park, IL
NPI 1043881832 · NPPES record last updated Jul 2, 2021
Key facts
- NPI
- 1043881832
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1414 Main St
Melrose Park, IL 60160-3902 - Phone
- (708) 681-0073
- NPI assigned
- Jul 2, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1414 Main St
Melrose Park, IL 60160-3902
Mailing address
1820 S 25TH Ave
Broadview, IL 60155-3960
Phone (708) 681-0073
Other providers in Melrose Park, IL
- Mahnaz Jeelani Ali
- All Kids Dental Center, LLC
- Claude Allen
- Jillian Allibone
- Nicole Marie Alvarez
- American Drug Stores LLC
- Stephen R Amesbury
- Pantaleo J Amoroso
- Erica Anderson
- Brad Anstadt
All providers in Melrose Park, IL · Mental Health Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.