Provider Demographics
NPI:1356105167
Name:OAK RIVER COUNSELING, LLC
Entity type:Organization
Organization Name:OAK RIVER COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MADDISON
Authorized Official - Middle Name:
Authorized Official - Last Name:KIRSCHNER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFTA
Authorized Official - Phone:334-545-4586
Mailing Address - Street 1:828 ANDREWS AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:AL
Mailing Address - Zip Code:36360-3706
Mailing Address - Country:US
Mailing Address - Phone:334-443-1030
Mailing Address - Fax:334-751-1466
Practice Address - Street 1:828 ANDREWS AVE STE 2
Practice Address - Street 2:
Practice Address - City:OZARK
Practice Address - State:AL
Practice Address - Zip Code:36360-3706
Practice Address - Country:US
Practice Address - Phone:334-443-1030
Practice Address - Fax:334-751-1466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-12
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty