Healthcare Provider Details

I. General information

NPI: 1578614038
Provider Name (Legal Business Name): SOLUTIONS COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 01/27/2022
Certification Date: 01/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 5TH ST N
BRECKENRIDGE MN
56520-1434
US

IV. Provider business mailing address

115 5TH ST N
BRECKENRIDGE MN
56520-1434
US

V. Phone/Fax

Practice location:
  • Phone: 218-643-9330
  • Fax: 218-641-1001
Mailing address:
  • Phone: 218-643-9330
  • Fax: 218-641-1001

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number00206
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6408
License Number StateMN

VIII. Authorized Official

Name: PEG VIELE
Title or Position: BILLING MANAGER
Credential:
Phone: 218-643-9330