Healthcare Provider Details

I. General information

NPI: 1881358521
Provider Name (Legal Business Name): WOMEN'S SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/29/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2616 LAFAYETTE AVE
BETHLEHEM PA
18017-4026
US

IV. Provider business mailing address

1 E BROAD ST STE 130-1073
BETHLEHEM PA
18018-5913
US

V. Phone/Fax

Practice location:
  • Phone: 610-866-6855
  • Fax:
Mailing address:
  • Phone: 610-866-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JACQUELINE L GOWER
Title or Position: OWNER
Credential: LPC
Phone: 610-866-6855