Provider Demographics
NPI:1144911967
Name:VERSATILE SOLUTIONS COUNSELING SERVICES, LLC
Entity type:Organization
Organization Name:VERSATILE SOLUTIONS COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LATOSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:229-472-3653
Mailing Address - Street 1:PO BOX 64
Mailing Address - Street 2:
Mailing Address - City:CHULA
Mailing Address - State:GA
Mailing Address - Zip Code:31733-0064
Mailing Address - Country:US
Mailing Address - Phone:229-848-2512
Mailing Address - Fax:
Practice Address - Street 1:1601 CENTRAL AVE N
Practice Address - Street 2:
Practice Address - City:TIFTON
Practice Address - State:GA
Practice Address - Zip Code:31794-3411
Practice Address - Country:US
Practice Address - Phone:229-472-3653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-15
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)