=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457657074
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THERAPEUTIC SOLUTIONS CONSULTING
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/28/2011
-----------------------------------------------------
Last Update Date | 01/28/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5790 DUNSTER CT APT 373
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22311-5933
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-630-6065
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5790 DUNSTER CT APT 373
-----------------------------------------------------
City | ALEXANDRIA
-----------------------------------------------------
State | VA
-----------------------------------------------------
Zip | 22311-5933
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 757-630-6065
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | MS. LATASHA D BLANDING
-----------------------------------------------------
Credential | MA, CSAC
-----------------------------------------------------
Telephone | 757-630-6065
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 324500000X
-----------------------------------------------------
Taxonomy Name | Substance Abuse Rehabilitation Facility
-----------------------------------------------------
License Number | 0710102185
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------