Wellformed AI

NPI 1487960423 · live from the CMS NPI Registry

Yountina Anne Ambis, cadc, lcsw, bcn

Social Worker, Clinical in Las Vegas, NV. National Provider Identifier 1487960423, active.

NPI record

NPI1487960423 Type 1 · individual
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location4560 S Eastern Ave Ste 13, Las Vegas, NV 89119
Practice phone702-328-1986
Mailing address4560 S. Eastern Ave. Suite 13, Las Vegas, NV 89119
EnumeratedAugust 27, 2010
Last updatedJune 4, 2020
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Addiction (Substance Use Disorder)101YA0400X00136-C (NV)
Social Worker, Clinical primary1041C0700X6173 C (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.