Provider Demographics
NPI:1851037600
Name:AVONDALE & ASSOCIATES PSYCHOLOGICAL SERVICES, LLC
Entity type:Organization
Organization Name:AVONDALE & ASSOCIATES PSYCHOLOGICAL SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:LEWIS-YARBROUGH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:334-398-8516
Mailing Address - Street 1:141 MARKET PL
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36117-4900
Mailing Address - Country:US
Mailing Address - Phone:334-398-8516
Mailing Address - Fax:888-800-3749
Practice Address - Street 1:141 MARKET PL
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36117-4900
Practice Address - Country:US
Practice Address - Phone:334-398-8516
Practice Address - Fax:888-800-3749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-05
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)