Organization
REAL LIFE SOLUTIONS BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCIA L SILCOTT CNP (CEO)
(937) 205-6667
Entity
Organization
Contact information
Practice address
18848 STATE ROUTE 136, WINCHESTER, OH 45697
(937) 417-8049
(937) 504-5106
Mailing address
10493 RUSSELLVILLLE-WINCHESTER RD, WINCHESTER, OH 45697-9638
(937) 205-6667
(937) 504-5106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009114
—
OH
05
—
0455913
—
OH
Enumeration date
01/31/2023
Last updated
03/22/2023
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