Provider Demographics
NPI:1295854230
Name:SOLUTIONS FOR LIFE COUNSELING SERVICES, LLC.
Entity Type:Organization
Organization Name:SOLUTIONS FOR LIFE COUNSELING SERVICES, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:580-234-4700
Mailing Address - Street 1:309 W CHEROKEE AVE
Mailing Address - Street 2:
Mailing Address - City:ENID
Mailing Address - State:OK
Mailing Address - Zip Code:73701-5603
Mailing Address - Country:US
Mailing Address - Phone:580-234-4700
Mailing Address - Fax:580-234-4727
Practice Address - Street 1:309 W CHEROKEE AVE
Practice Address - Street 2:
Practice Address - City:ENID
Practice Address - State:OK
Practice Address - Zip Code:73701-5603
Practice Address - Country:US
Practice Address - Phone:580-234-4700
Practice Address - Fax:580-234-4727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200055610-AMedicaid