Provider Demographics
NPI:1003348038
Name:HEIDI M. SALONIA
Entity Type:Organization
Organization Name:HEIDI M. SALONIA
Other - Org Name:SALONIA PSYCHOTHERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:M
Authorized Official - Last Name:SALONIA
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:954-650-6907
Mailing Address - Street 1:1825 FOREST HILL BLVD.
Mailing Address - Street 2:#105
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33406-6058
Mailing Address - Country:US
Mailing Address - Phone:954-650-6907
Mailing Address - Fax:
Practice Address - Street 1:1825 FOREST HILL BLVD.
Practice Address - Street 2:#105
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33406-6058
Practice Address - Country:US
Practice Address - Phone:954-650-6907
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH9039101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty