Susan Marie Ambrosius X, LMHC
Individual provider Active NPI Mental Health Counselor · Marathon, FL
NPI 1164512349 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1164512349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH7434 (FL)
- Practice address
- 10015 Overseas Hwy
Marathon, FL 33050-3336 - Phone
- (305) 289-2779
- NPI assigned
- Oct 16, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7434 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMS Marathon | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7434 | FL | Yes |
Addresses
Primary practice location
10015 Overseas Hwy
Marathon, FL 33050-3336
Mailing address
136 Mockingbird LN
Marathon, FL 33050-2415
Phone (305) 395-1779
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- Jana R Alvarez
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- Andrew J. Wolszczak, M.D.
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- Arizona Physician'S Laboratory, Inc
- Maria Esther Arvelo
All providers in Marathon, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.