Provider Demographics
NPI:1790323723
Name:AMY HUDSON COUNSELING LLC
Entity Type:Organization
Organization Name:AMY HUDSON COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEWEY HUDSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:256-258-9398
Mailing Address - Street 1:496 HIGHWAY 67 S STE A
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-6300
Mailing Address - Country:US
Mailing Address - Phone:256-258-9398
Mailing Address - Fax:
Practice Address - Street 1:496 HIGHWAY 67 S STE A
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-6300
Practice Address - Country:US
Practice Address - Phone:256-258-9398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2019-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health