Healthcare Provider Details

I. General information

NPI: 1447068531
Provider Name (Legal Business Name): SOLUTIONS PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2024
Last Update Date: 09/22/2025
Certification Date: 09/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 BROADWAY ST P.O. BOX 541
MOUNT VERNON IL
62864-4009
US

IV. Provider business mailing address

1011 BROADWAY ST
MOUNT VERNON IL
62864-4009
US

V. Phone/Fax

Practice location:
  • Phone: 618-816-5158
  • Fax:
Mailing address:
  • Phone: 618-816-5158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PAULA LAWRENCE
Title or Position: OWNER, CLINICAL DIRECTOR THERAPIST
Credential: LCPC LSOTP LSOE
Phone: 618-599-3647