Provider Demographics
NPI:1154080612
Name:GUIDED SOLUTIONS COUNSELING SERVICES LLC
Entity Type:Organization
Organization Name:GUIDED SOLUTIONS COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KERI
Authorized Official - Middle Name:
Authorized Official - Last Name:JAKUBOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:262-309-7359
Mailing Address - Street 1:589 STAFFORD AVE UNIT 4
Mailing Address - Street 2:
Mailing Address - City:BRISTOL
Mailing Address - State:CT
Mailing Address - Zip Code:06010-4654
Mailing Address - Country:US
Mailing Address - Phone:262-309-7359
Mailing Address - Fax:
Practice Address - Street 1:589 STAFFORD AVE UNIT 4
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-4654
Practice Address - Country:US
Practice Address - Phone:262-309-7359
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty