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NPI Code Detail

MEDICARE: SOLUTIONS COMMUNITY SUPPORT AGENCY, LLC

MEDICARE: SOLUTIONS COMMUNITY SUPPORT AGENCY, 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
1101YP2500XProfessional Counselor
21041C0700XClinical Social Worker
32084P0800XPsychiatry Physician
4363A00000XPhysician Assistant
5251S00000XCommunity/Behavioral Health AgencyNC

Other Identifiers

General Provider Information

NPI Number : 1215122114
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLUTIONS COMMUNITY SUPPORT AGENCY, LLC
Provider Business Mailing Address
First Line : 236 N MEBANE ST
Second Line : SUITE 101
City : BURLINGTON
State : NC
Zip : 27217-3966
Country : US
Telephone Number : 336-436-0074
Fax Number : 336-436-0232
Provider Business Practice Location Address
First Line : 236 N MEBANE ST
Second Line : SUITE NUMBER 101
City : BURLINGTON
State : NC
Zip : 27217-3966
Country : US
Telephone Number : 336-436-0074
Fax Number : 336-436-0232
Authorized Official
Title or Position : PROGRAM MANAGER
Name : MR. JAMES MOIR STRICKLAND JR.
Credential : QP
Telephone Number : 336-436-0074
Provider Enumeration Date : 09/13/2007
Last Update Date : 06/06/2013

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