Provider Demographics
NPI:1083175764
Name:SOLUTIONS COUNSELING AND CONSULTING GROUP
Entity Type:Organization
Organization Name:SOLUTIONS COUNSELING AND CONSULTING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AUDRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ROWE
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCPC
Authorized Official - Phone:312-241-3761
Mailing Address - Street 1:1649 W 103RD ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60643-2818
Mailing Address - Country:US
Mailing Address - Phone:312-241-3761
Mailing Address - Fax:
Practice Address - Street 1:1649 W 103RD ST
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60643-2818
Practice Address - Country:US
Practice Address - Phone:312-241-3761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-26
Last Update Date:2019-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty