Provider Demographics
NPI:1750535456
Name:SOLUTIONS FOR LIFE CLINICAL COUNSELING, LIFE COACHING&CONSULTINGSERVI
Entity type:Organization
Organization Name:SOLUTIONS FOR LIFE CLINICAL COUNSELING, LIFE COACHING&CONSULTINGSERVI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCOTHERAPIST
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 1:1801 N TRYON ST
Mailing Address - Street 2:SUITES 337 & 335
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28206-2704
Mailing Address - Country:US
Mailing Address - Phone:704-405-4957
Mailing Address - Fax:704-405-4958
Practice Address - Street 1:1801 N TRYON ST
Practice Address - Street 2:SUITES 337 & 335
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28206-2704
Practice Address - Country:US
Practice Address - Phone:704-405-4957
Practice Address - Fax:704-405-4958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0057651041C0700X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty