Provider Demographics
NPI:1356936637
Name:SOLUTIONS MADE POSSIBLE, INC.
Entity type:Organization
Organization Name:SOLUTIONS MADE POSSIBLE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TANEIA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:516-522-0845
Mailing Address - Street 1:10201 FLATLANDS AVE UNIT 360572
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-2885
Mailing Address - Country:US
Mailing Address - Phone:516-522-0845
Mailing Address - Fax:
Practice Address - Street 1:1062 ELTON ST APT 814
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11239-5715
Practice Address - Country:US
Practice Address - Phone:516-522-0845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty