MEDICARE: SOLUTION FOCUSED THERAPIES INC

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	SW11249	FL

General Provider Information

NPI Number	:	1295118545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTION FOCUSED THERAPIES INC

Provider Business Mailing Address
First Line	:	744 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4754
Country	:	US
Telephone Number	:	772-232-6796
Fax Number	:

Provider Business Practice Location Address
First Line	:	744 NE JENSEN BEACH BLVD
Second Line	:
City	:	JENSEN BEACH
State	:	FL
Zip	:	34957-4754
Country	:	US
Telephone Number	:	772-232-6796
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELE HANCOCK
Credential	:	LCSW
Telephone Number	:	772-333-7688

Provider Enumeration Date	:	07/06/2015
Last Update Date	:	07/06/2015

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