Provider Demographics
NPI:1639898661
Name:SOLE SOLUTIONS COUNSELING AND CONSULTING SERVICES PLLC
Entity type:Organization
Organization Name:SOLE SOLUTIONS COUNSELING AND CONSULTING SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AND MENTAL HEALTH COUNSELO
Authorized Official - Prefix:
Authorized Official - First Name:JAMAL
Authorized Official - Middle Name:
Authorized Official - Last Name:WARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC-S, LCAS, CSI
Authorized Official - Phone:980-413-7373
Mailing Address - Street 1:5501 EXECUTIVE CENTER DR STE 213
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28212-8823
Mailing Address - Country:US
Mailing Address - Phone:980-413-7373
Mailing Address - Fax:
Practice Address - Street 1:5501 EXECUTIVE CENTER DR STE 213
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-8823
Practice Address - Country:US
Practice Address - Phone:980-413-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-23
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty