Provider Demographics
NPI:1528593753
Name:SOLUTIONS FOR LIFE; COUNSELING, LIFE COACHING, AND CONSULTING SERVICES
Entity Type:Organization
Organization Name:SOLUTIONS FOR LIFE; COUNSELING, LIFE COACHING, AND CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:NORWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, QMHP
Authorized Official - Phone:704-649-9078
Mailing Address - Street 1:9635 SOUTHERN PINE BLVD
Mailing Address - Street 2:SUITE 122,124
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28273-5540
Mailing Address - Country:US
Mailing Address - Phone:704-649-9078
Mailing Address - Fax:
Practice Address - Street 1:9635 SOUTHERN PINE BLVD
Practice Address - Street 2:SUITE 122,124
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28273-5540
Practice Address - Country:US
Practice Address - Phone:704-649-9078
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC005765251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106751Medicaid