Ambria Page LCSW

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

AMBRIA PAGE LCSW

Practice address

4 Office Park Dr Unit 201
Palm Coast, FL 32137-3809

Phone

(904) 315-9248

Fax

(386) 309-2350

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Ambria Jacquelyn Page, LCSWNPI 1821361619

Title

Provider/Owner/Authorized Person

Phone

(904) 315-9248

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ambria Jacquelyn Page, LCSW

  • Mental Health Counselor
  • Palm Coast, FL
  • NPI 1821361619
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1427890243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK DR UNIT 201",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373809",
            "telephone_number": "904-315-9248",
            "fax_number": "386-309-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OFFICE PARK DR UNIT 201",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321373809",
            "telephone_number": "904-315-9248",
            "fax_number": "386-309-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMBRIA PAGE LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "AMBRIA",
        "authorized_official_middle_name": "JACQUELYN",
        "authorized_official_title_or_position": "PROVIDER/OWNER/AUTHORIZED PERSON",
        "authorized_official_telephone_number": "904-315-9248",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvaro R Alvarez-Farinetti, M.D.
• Indira Alvarez, AUD
• Steven Alvarez, PHARMD
• Marjorie Alves
• Christina Amaral
• Magda M. Amer, MD
• American Wellness Solutions, LLC
• Amethyst Wellness LLC
• Amir a Malik MD PA
• Kathleen Anasagasti, SLP MS-CCC

• All providers in Palm Coast, FL
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.