MEDICARE: SOLUTIONS COUNSELING & CONSULTING 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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1619295557
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTIONS COUNSELING & CONSULTING INC

Provider Business Mailing Address
First Line	:	100 E SYBELIA AVE
Second Line	:	SUITE 165
City	:	MAITLAND
State	:	FL
Zip	:	32751-4763
Country	:	US
Telephone Number	:	352-978-6263
Fax Number	:	352-557-4091

Provider Business Practice Location Address
First Line	:	100 E SYBELIA AVE
Second Line	:	SUITE 165
City	:	MAITLAND
State	:	FL
Zip	:	32751-4763
Country	:	US
Telephone Number	:	352-978-6263
Fax Number	:	352-557-4091

Authorized Official
Title or Position	:	CEO/PRESIDENT
Name	:	DR. JOHN LOTT III
Credential	:	PH.D., LCSW, CSOTS
Telephone Number	:	352-321-7331

Provider Enumeration Date	:	05/16/2010
Last Update Date	:	10/09/2013

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