Organization · NPI-2
Ambitious Soule L.L.C
Community/Behavioral Health · Jamaica, NY
NPI number1851239693
StatusActive
Last updated in NPPESMar 23, 2026
Details
- NPI
- 1851239693
- Entity type
- Organization (NPI-2)
- Legal business name
- Ambitious Soule L.L.C
- Organization subpart
- No
- Enumeration date
- Mar 23, 2026
- Certification date
- Mar 18, 2026
- Last updated
- Mar 23, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
10725 Fern PlJamaica, NY 11433-2598
Phone 201-357-7181
Mailing address
288 Park Ave S Pmb 153925New York, NY 10003
Authorized official
Dominique Parker
Casac-T
9293938273
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