MEDICARE: SOLUTION-BASED COUNSELING SERVICES, 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	101YP2500X	Professional Counselor
2	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1669790275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLUTION-BASED COUNSELING SERVICES, LLC

Provider Business Mailing Address
First Line	:	42450 GARFIELD RD STE F
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-5040
Country	:	US
Telephone Number	:	586-421-4513
Fax Number	:	586-948-8416

Provider Business Practice Location Address
First Line	:	42450 GARFIELD RD STE F
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-5040
Country	:	US
Telephone Number	:	586-421-4513
Fax Number	:	586-948-8416

Authorized Official
Title or Position	:	OWNER
Name	:	MS. SUSAN WILLIAMS
Credential	:	LMSW
Telephone Number	:	586-421-4513

Provider Enumeration Date	:	05/06/2010
Last Update Date	:	10/01/2024

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