Provider Demographics
NPI:1881478949
Name:ORANGE YOU GLAD COUNSELING, LLC
Entity type:Organization
Organization Name:ORANGE YOU GLAD COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DAIMIAN
Authorized Official - Middle Name:HOLIDAY
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:510-206-8992
Mailing Address - Street 1:1315 NE 7TH TER
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32601-3727
Mailing Address - Country:US
Mailing Address - Phone:510-206-8992
Mailing Address - Fax:
Practice Address - Street 1:1315 NE 7TH TER
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32601-3727
Practice Address - Country:US
Practice Address - Phone:510-206-8992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty