Provider Demographics
NPI:1932894516
Name:ORCHARD ROAD COUNSELING AND CONSULTING
Entity Type:Organization
Organization Name:ORCHARD ROAD COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PROFESSIONAL COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:MINDI
Authorized Official - Middle Name:
Authorized Official - Last Name:AMBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LBSW, ALC
Authorized Official - Phone:205-514-5066
Mailing Address - Street 1:2005 HINTON DR
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:AL
Mailing Address - Zip Code:36203-3037
Mailing Address - Country:US
Mailing Address - Phone:205-514-5066
Mailing Address - Fax:
Practice Address - Street 1:2005 HINTON DR
Practice Address - Street 2:
Practice Address - City:OXFORD
Practice Address - State:AL
Practice Address - Zip Code:36203-3037
Practice Address - Country:US
Practice Address - Phone:205-514-5066
Practice Address - Fax:866-984-4212
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty