Healthcare Provider Details

I. General information

NPI: 1083175764
Provider Name (Legal Business Name): SOLUTIONS COUNSELING AND CONSULTING GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2019
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1649 W 103RD ST
CHICAGO IL
60643-2818
US

IV. Provider business mailing address

1649 W 103RD ST
CHICAGO IL
60643-2818
US

V. Phone/Fax

Practice location:
  • Phone: 312-241-3761
  • Fax:
Mailing address:
  • Phone: 312-241-3761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. AUDRA MARIE ROWE
Title or Position: ADMINISTRATIVE DIRECTOR
Credential: ED.D, L.C.P.C.
Phone: 312-241-3761