MEDICARE: SOLUTIONS FOR LIFE; COUNSELING, LIFE COACHING, AND CONSULTING SERVICES

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	251S00000X	Community/Behavioral Health Agency	C005765	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528593753
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS FOR LIFE; COUNSELING, LIFE COACHING, AND CONSULTING SERVICES

Provider Business Mailing Address
First Line	:	9635 SOUTHERN PINE BLVD
Second Line	:	SUITE 122,124
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-5540
Country	:	US
Telephone Number	:	704-649-9078
Fax Number	:

Provider Business Practice Location Address
First Line	:	9635 SOUTHERN PINE BLVD
Second Line	:	SUITE 122,124
City	:	CHARLOTTE
State	:	NC
Zip	:	28273-5540
Country	:	US
Telephone Number	:	704-649-9078
Fax Number	:

Authorized Official
Title or Position	:	LICENSED PSYCHOTHERAPIST/OWNER
Name	:	MS. ADRIENNE RENEE NORWOOD
Credential	:	LCSW, QMHP
Telephone Number	:	704-649-9078

Provider Enumeration Date	:	04/25/2017
Last Update Date	:	04/25/2017

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Directions to “SOLUTIONS FOR LIFE; COUNSELING, LIFE COACHING, AND CONSULTING SERVICES ” Practice Location

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