Healthcare Provider Details

I. General information

NPI: 1942162565
Provider Name (Legal Business Name): JORDAN THERAPY SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26099 US HIGHWAY 59 STE A
LOXLEY AL
36551
US

IV. Provider business mailing address

26099 US HIGHWAY 59 STE A
LOXLEY AL
36551
US

V. Phone/Fax

Practice location:
  • Phone: 251-202-9221
  • Fax: 888-892-3951
Mailing address:
  • Phone: 251-202-9221
  • Fax: 888-892-3951

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREA JORDAN
Title or Position: OWNER
Credential: LPC
Phone: 251-202-9221