Provider Demographics
NPI:1811165442
Name:PRACTICAL SOLUTIONS FOR EVERYDAY LIVING, INC.
Entity type:Organization
Organization Name:PRACTICAL SOLUTIONS FOR EVERYDAY LIVING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:NINA
Authorized Official - Last Name:MATTIX
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-CP
Authorized Official - Phone:843-814-9707
Mailing Address - Street 1:103 RIVER BREEZE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5662
Mailing Address - Country:US
Mailing Address - Phone:843-814-9707
Mailing Address - Fax:
Practice Address - Street 1:103 RIVER BREEZE DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5662
Practice Address - Country:US
Practice Address - Phone:843-814-9707
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-18
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC47701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC8934Medicare UPIN
SC8934Medicare PIN