Provider Demographics
NPI:1396393914
Name:AMY AVERY COUNSELING SOLUTIONS LLC
Entity Type:Organization
Organization Name:AMY AVERY COUNSELING SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:AVERY
Authorized Official - Suffix:
Authorized Official - Credentials:MDIV, MACM, LPCC-S
Authorized Official - Phone:614-918-8269
Mailing Address - Street 1:9230 RAMI AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2158
Mailing Address - Country:US
Mailing Address - Phone:614-918-8269
Mailing Address - Fax:614-416-0345
Practice Address - Street 1:1900 POLARIS PKWY STE 450
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-4064
Practice Address - Country:US
Practice Address - Phone:614-918-8269
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-27
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty