Organization Active NPI

Amb Consulting Counseling and Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Saint Louis, MO
National Provider Identifier
1407365216
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
2010039058 Issued in MO
Legal business name
AMB CONSULTING COUNSELING AND WELLNESS CENTER LLC
Practice address
1515 N Warson Rd Ste 121
Saint Louis, MO 63132-1108
Phone
(314) 764-5172
Fax
(314) 953-7397
NPI assigned
Sep 25, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Angela M Bryant, LCSWNPI 1942504105
Title
Owner/Clinical Director
Phone
(314) 764-5172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 2010039058 MO Primary

Addresses

Primary practice location

1515 N Warson Rd Ste 121
Saint Louis, MO 63132-1108

Mailing address

1515 N Warson Rd Ste 121
Saint Louis, MO 63132-1108
Phone (314) 764-5172

National Provider Directory

National Provider Directory

Locations

1515 N Warson Rd
Ste 121
Saint Louis, MO 63132
Phone (314) 764-5172

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1407365216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 121",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321108",
            "telephone_number": "314-764-5172",
            "fax_number": "314-953-7397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N WARSON RD STE 121",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631321108",
            "telephone_number": "314-764-5172",
            "fax_number": "314-953-7397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMB CONSULTING COUNSELING AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "314-764-5172",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MO",
            "license": "2010039058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.