Provider Demographics
NPI:1932135530
Name:SOLUTIONS COUNSELING CENTER
Entity Type:Organization
Organization Name:SOLUTIONS COUNSELING CENTER
Other - Org Name:SOLUTIONS COUNSELING CENTER LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:LORETTA
Authorized Official - Middle Name:A
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LPCC, CCDCI
Authorized Official - Phone:330-938-1584
Mailing Address - Street 1:280 N 15TH ST
Mailing Address - Street 2:
Mailing Address - City:SEBRING
Mailing Address - State:OH
Mailing Address - Zip Code:44672-1302
Mailing Address - Country:US
Mailing Address - Phone:330-938-1584
Mailing Address - Fax:330-938-1585
Practice Address - Street 1:280 N 15TH ST
Practice Address - Street 2:
Practice Address - City:SEBRING
Practice Address - State:OH
Practice Address - Zip Code:44672-1302
Practice Address - Country:US
Practice Address - Phone:330-938-1584
Practice Address - Fax:330-938-1585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH021167101YA0400X
OHE0004157101YM0800X
OH4678103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9363911Medicare PIN
OH=========Medicare UPIN
OH=========Medicare UPINMENTAL HEALTH