Provider Demographics
NPI:1649812470
Name:SOLSTICE STRATEGIC COUNSELING, LLC
Entity type:Organization
Organization Name:SOLSTICE STRATEGIC COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:VANSICKLE
Authorized Official - Suffix:
Authorized Official - Credentials:LLMSW
Authorized Official - Phone:802-343-0069
Mailing Address - Street 1:2872 S SANDSTONE RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MI
Mailing Address - Zip Code:49201-9328
Mailing Address - Country:US
Mailing Address - Phone:802-343-0069
Mailing Address - Fax:
Practice Address - Street 1:2 N HOWELL ST
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:MI
Practice Address - Zip Code:49242-1621
Practice Address - Country:US
Practice Address - Phone:802-343-0069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty