Provider Demographics
NPI:1457657074
Name:THERAPEUTIC SOLUTIONS CONSULTING
Entity Type:Organization
Organization Name:THERAPEUTIC SOLUTIONS CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LATASHA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BLANDING
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CSAC
Authorized Official - Phone:757-630-6065
Mailing Address - Street 1:5790 DUNSTER CT APT 373
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22311-5933
Mailing Address - Country:US
Mailing Address - Phone:757-630-6065
Mailing Address - Fax:
Practice Address - Street 1:5790 DUNSTER CT APT 373
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22311-5933
Practice Address - Country:US
Practice Address - Phone:757-630-6065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0710102185324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility