| Organization Name: | EXECUTIVE COUNSELING SOLUTIONS, LLC |
| NPI Number: | 1962859520 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | REBECCA RAND (OWNER) |
| Mailing Address: | 5380 Gulf Of Mexico Dr Suite 105 Longboat Key |
| State: | FL US |
| Postal Code: | 342282048 |
| Phone Number: | 9412380266 |
| Fax Number: | 9412445505 |
| NPI Enumeration Date: | 05/24/2016 |
| NPI Last Update Date: | 06/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | SW12296 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |