Healthcare Provider Details

I. General information

NPI: 1023874799
Provider Name (Legal Business Name): PRACTICAL SOLUTIONS CONSULTING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 07/19/2024
Certification Date: 07/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9140 MORGAN ST
LAUREL HILL NC
28351-0016
US

IV. Provider business mailing address

PO BOX 597
LAUREL HILL NC
28351-0597
US

V. Phone/Fax

Practice location:
  • Phone: 202-510-2785
  • Fax:
Mailing address:
  • Phone: 202-510-2785
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: TAMARA LACHAE MCDOUGALD
Title or Position: BOARD CERTIFIED BEHAVIOR ANALYST
Credential:
Phone: 910-683-0142