=====================================================
General NPI Number Information
=====================================================
NPI Number | 1336243757
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | SOLUTIONS COUNSELING AND EDUCATION SERVICES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/08/2006
-----------------------------------------------------
Last Update Date | 07/21/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11315 PEMBROOKE SQUARE MEDICAL CENTER SUITE 112-A
-----------------------------------------------------
City | WALDORF
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-645-2233
-----------------------------------------------------
Fax | 301-645-3633
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1009 NORFOLK DR
-----------------------------------------------------
City | LA PLATA
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20646-3551
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-645-2233
-----------------------------------------------------
Fax | 301-645-3633
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/THERAPIST
-----------------------------------------------------
Name | MS. MARILYN R MCCLURE
-----------------------------------------------------
Credential | LCPC
-----------------------------------------------------
Telephone | 301-645-2233
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | LC0866
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------