Provider Demographics
NPI:1003277971
Name:ORANGE AVENUE CONSULTING
Entity Type:Organization
Organization Name:ORANGE AVENUE CONSULTING
Other - Org Name:RESILIENCE COUNSELING CENTER
Other - Org Type:Other Name
Authorized Official - Title/Position:REG. MENTAL HEALTH COUNSELOR INTERN
Authorized Official - Prefix:MRS
Authorized Official - First Name:NATALEE
Authorized Official - Middle Name:RHODES
Authorized Official - Last Name:SUMMERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-483-4775
Mailing Address - Street 1:9344 LAKE FISCHER BLVD
Mailing Address - Street 2:
Mailing Address - City:GOTHA
Mailing Address - State:FL
Mailing Address - Zip Code:34734-5203
Mailing Address - Country:US
Mailing Address - Phone:812-483-4775
Mailing Address - Fax:
Practice Address - Street 1:9344 LAKE FISCHER BLVD
Practice Address - Street 2:
Practice Address - City:GOTHA
Practice Address - State:FL
Practice Address - Zip Code:34734-5203
Practice Address - Country:US
Practice Address - Phone:812-483-4775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty