MEDICARE: GUIDED 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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1578311767
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GUIDED SOLUTIONS COUNSELING, LLC

Provider Business Mailing Address
First Line	:	7734 MADISON BLVD STE 125
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2382
Country	:	US
Telephone Number	:	938-233-0775
Fax Number	:	256-602-1156

Provider Business Practice Location Address
First Line	:	7734 MADISON BLVD STE 125
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35806-2382
Country	:	US
Telephone Number	:	938-233-0775
Fax Number	:	256-602-1156

Authorized Official
Title or Position	:	OWNER
Name	:	ANGEL JOHNSON
Credential	:	LPC
Telephone Number	:	938-233-0775

Provider Enumeration Date	:	05/11/2024
Last Update Date	:	05/11/2024

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