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NPI Code Detail

MEDICARE: SOLAS COUNSELING

MEDICARE: SOLAS COUNSELING
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
1101Y00000XCounselorA8915NC
2101YM0800XMental Health CounselorA8915NC

General Provider Information

NPI Number : 1316285414
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLAS COUNSELING
Provider Business Mailing Address
First Line : 4935 BANFSHIRE RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28215-2009
Country : US
Telephone Number : 704-918-8358
Fax Number :
Provider Business Practice Location Address
First Line : 1717 CLEVELAND AVE
Second Line :
City : CHARLOTTE
State : NC
Zip : 28203-4735
Country : US
Telephone Number : 704-918-8358
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MS. ELIZABETH KERR
Credential : LPCA
Telephone Number : 704-918-8358
Provider Enumeration Date : 01/23/2013
Last Update Date : 01/23/2013

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Directions to “SOLAS COUNSELING ” Practice Location

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