Provider Demographics
NPI:1932540465
Name:STANDARDS-BASED SOLUTIONS BEHAVIORAL HEALTH CONSULTING
Entity Type:Organization
Organization Name:STANDARDS-BASED SOLUTIONS BEHAVIORAL HEALTH CONSULTING
Other - Org Name:STANDARDS-BASED SOLUTIONS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MILDRED
Authorized Official - Middle Name:SHAW
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:919-967-9964
Mailing Address - Street 1:1301 E FRANKLIN ST
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-3319
Mailing Address - Country:US
Mailing Address - Phone:919-967-9964
Mailing Address - Fax:919-967-9965
Practice Address - Street 1:1301 E FRANKLIN ST
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-3319
Practice Address - Country:US
Practice Address - Phone:919-967-9964
Practice Address - Fax:919-967-9965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-12
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty