Healthcare Provider Details

I. General information

NPI: 1780185488
Provider Name (Legal Business Name): SOLUTIONS AE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2018
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

ONE WEST SQUARE COURT SUITE 710
DECATUR GA
30030
US

IV. Provider business mailing address

ONE WEST SQUARE COURT SUITE 710
DECATUR GA
30030
US

V. Phone/Fax

Practice location:
  • Phone: 888-562-4441
  • Fax:
Mailing address:
  • Phone: 888-562-4441
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. ANA EVERETT
Title or Position: CEO
Credential:
Phone: 888-562-4441