MEDICARE: SOLUTIONS COUNSELING, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	0904003054	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	B1078	OTHER	VA	MEDCOST
2	339574	OTHER	VA	MHN

General Provider Information

NPI Number	:	1003903634
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	PO BOX 246
Second Line	:
City	:	NORTON
State	:	VA
Zip	:	24273-0246
Country	:	US
Telephone Number	:	276-679-0162
Fax Number	:	276-679-0164

Provider Business Practice Location Address
First Line	:	18 7TH ST NW
Second Line	:	SUITE 207 PARK AVENUE CENTER
City	:	NORTON
State	:	VA
Zip	:	24273-1961
Country	:	US
Telephone Number	:	276-679-0162
Fax Number	:	276-679-0164

Authorized Official
Title or Position	:	MEMBER
Name	:	MS. ANNE B JACOBE
Credential	:	LCSW
Telephone Number	:	276-679-0162

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/21/2022

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Directions to “SOLUTIONS COUNSELING, LLC ” Practice Location

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