MEDICARE: SOLUTIONS COUNSELING AND CONSULTATION SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	PC002986	PA
2	103TC0700X	Clinical Psychologist	PS002732L	PA
3	163WP0808X	Psychiatric/Mental Health Registered Nurse	RN117427L	PA
4	1041C0700X	Clinical Social Worker	CW000171L	PA

General Provider Information

NPI Number	:	1932196599
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS COUNSELING AND CONSULTATION SERVICES

Provider Business Mailing Address
First Line	:	35 E ELIZABETH AVE
Second Line	:	SUITE 37
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-6505
Country	:	US
Telephone Number	:	610-865-1303
Fax Number	:	610-865-9632

Provider Business Practice Location Address
First Line	:	35 E ELIZABETH AVE
Second Line	:	SUITE 37
City	:	BETHLEHEM
State	:	PA
Zip	:	18018-6505
Country	:	US
Telephone Number	:	610-865-1303
Fax Number	:	610-865-9632

Authorized Official
Title or Position	:	PRACTICE ADMINISTRATOR/OWNER
Name	:	MS. BARBARA J THOMAS
Credential	:
Telephone Number	:	610-865-1303

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	02/18/2015

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