Provider Demographics
NPI:1124146220
Name:SOLUTIONS FAMILY THERAPY AND CONSULTING, INC
Entity type:Organization
Organization Name:SOLUTIONS FAMILY THERAPY AND CONSULTING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDYLEIGH
Authorized Official - Middle Name:K
Authorized Official - Last Name:BODICK
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:704-892-2254
Mailing Address - Street 1:PO BOX 2158
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-2158
Mailing Address - Country:US
Mailing Address - Phone:704-892-2254
Mailing Address - Fax:704-892-0366
Practice Address - Street 1:21300 CATAWBA AVE
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8505
Practice Address - Country:US
Practice Address - Phone:704-892-2254
Practice Address - Fax:704-892-0366
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0037031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty