Provider Demographics
NPI:1962151803
Name:PROFESSIONAL HEALTHCARE SOLUTIONS, INC
Entity type:Organization
Organization Name:PROFESSIONAL HEALTHCARE SOLUTIONS, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILLY
Authorized Official - Middle Name:AMY
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:BSHS
Authorized Official - Phone:704-796-5481
Mailing Address - Street 1:455 RICHARDSON ST
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28001-5925
Mailing Address - Country:US
Mailing Address - Phone:704-796-5481
Mailing Address - Fax:
Practice Address - Street 1:315 YADKIN ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3441
Practice Address - Country:US
Practice Address - Phone:704-550-9171
Practice Address - Fax:704-550-9166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-19
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty