Provider Demographics
NPI:1487066379
Name:AMH COUNSELING P.L.
Entity type:Organization
Organization Name:AMH COUNSELING P.L.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:MORRIS
Authorized Official - Last Name:HARRELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:LMHC
Authorized Official - Phone:386-362-6483
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:LIVE OAK
Mailing Address - State:FL
Mailing Address - Zip Code:32064-0535
Mailing Address - Country:US
Mailing Address - Phone:386-362-6483
Mailing Address - Fax:386-362-2079
Practice Address - Street 1:112 PIEDMONT ST SE
Practice Address - Street 2:
Practice Address - City:LIVE OAK
Practice Address - State:FL
Practice Address - Zip Code:32064-3230
Practice Address - Country:US
Practice Address - Phone:386-362-6483
Practice Address - Fax:386-362-2079
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 3789101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty