| Orange Avenue Consulting | |
|
9344 Lake Fischer Blvd Gotha FL 34734-5203 | |
| (812) 483-4775 | |
| Not Available |
| Full Name | Orange Avenue Consulting |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9344 Lake Fischer Blvd, Gotha, Florida |
| Authorized Official Name and Position | Natalee Rhodes Summers (REG. MENTAL HEALTH COUNSELOR INTERN) |
| Authorized Official Contact | 8124834775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Avenue Consulting 9344 Lake Fischer Blvd Gotha FL 34734-5203 Ph: (812) 483-4775 | Orange Avenue Consulting 9344 Lake Fischer Blvd Gotha FL 34734-5203 Ph: (812) 483-4775 |
| NPI Number | 1003277971 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003277971 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
A & S Quality Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9314 Lake Fischer Blvd, Gotha, FL 34734 Phone: 407-592-3832 |