Provider Demographics
NPI:1003903634
Name:SOLUTIONS COUNSELING, LLC
Entity Type:Organization
Organization Name:SOLUTIONS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:B
Authorized Official - Last Name:JACOBE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:276-679-0162
Mailing Address - Street 1:PO BOX 246
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:VA
Mailing Address - Zip Code:24273-0246
Mailing Address - Country:US
Mailing Address - Phone:276-679-0162
Mailing Address - Fax:276-679-0164
Practice Address - Street 1:18 7TH ST NW
Practice Address - Street 2:SUITE 207 PARK AVENUE CENTER
Practice Address - City:NORTON
Practice Address - State:VA
Practice Address - Zip Code:24273-1961
Practice Address - Country:US
Practice Address - Phone:276-679-0162
Practice Address - Fax:276-679-0164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040030541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAB1078OtherMEDCOST
VA339574OtherMHN
VAC09101Medicare ID - Type Unspecified