Healthcare Provider Details

I. General information

NPI: 1073439477
Provider Name (Legal Business Name): TOTAL SOLUTION PSYCHOLOGICAL AND CONSULTATION SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2765 RED SPRUCE DR
GREENFIELD IN
46140-5023
US

IV. Provider business mailing address

2765 RED SPRUCE DR
GREENFIELD IN
46140-5023
US

V. Phone/Fax

Practice location:
  • Phone: 269-815-6927
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: BREEZIE GIBSON
Title or Position: PSYCHOLOGIST
Credential: PHD, LP
Phone: 614-531-7330