Healthcare Provider Details

I. General information

NPI: 1245071711
Provider Name (Legal Business Name): MARGARET AMBROSE MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2024
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3200 N DOBSON RD STE C
CHANDLER AZ
85224-9609
US

IV. Provider business mailing address

3200 N DOBSON RD STE C
CHANDLER AZ
85224-9609
US

V. Phone/Fax

Practice location:
  • Phone: 480-818-6451
  • Fax:
Mailing address:
  • Phone: 480-818-6451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC-24246
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: