Provider Demographics
NPI:1619727427
Name:GOTLEN CONSULTING LLC
Entity Type:Organization
Organization Name:GOTLEN CONSULTING LLC
Other - Org Name:HUMMINGBIRD COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HAYLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:GOTLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-349-3341
Mailing Address - Street 1:100 E NEW YORK AVE STE 103KK
Mailing Address - Street 2:
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32724-5575
Mailing Address - Country:US
Mailing Address - Phone:407-349-3341
Mailing Address - Fax:
Practice Address - Street 1:100 E NEW YORK AVE STE 103KK
Practice Address - Street 2:
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32724-5575
Practice Address - Country:US
Practice Address - Phone:407-349-3341
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty