Provider Demographics
NPI:1730393729
Name:SOLUTIONS COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:SOLUTIONS COUNSELING SERVICES, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/EXECUTIVE CLINICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DELTON
Authorized Official - Middle Name:WADE
Authorized Official - Last Name:DE VOSE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LPC
Authorized Official - Phone:919-381-5703
Mailing Address - Street 1:2314 S MIAMI BLVD
Mailing Address - Street 2:SUITE 154
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-5793
Mailing Address - Country:US
Mailing Address - Phone:919-381-5703
Mailing Address - Fax:919-381-5701
Practice Address - Street 1:2314 S MIAMI BLVD
Practice Address - Street 2:SUITE 154
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-5793
Practice Address - Country:US
Practice Address - Phone:919-381-5703
Practice Address - Fax:919-381-5701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-09
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001-001462084P0800X
NCC0062491041C0700X
NC4985101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006092Medicaid