Provider Demographics
NPI:1033353461
Name:SOLANKI-VASAN, BHAVINI (LPC)
Entity Type:Individual
Prefix:MRS
First Name:BHAVINI
Middle Name:
Last Name:SOLANKI-VASAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3547 HABERSHAM AT NORTHLAKE, BLDG F
Mailing Address - Street 2:
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084
Mailing Address - Country:US
Mailing Address - Phone:678-406-9707
Mailing Address - Fax:678-406-9881
Practice Address - Street 1:3547 HABERSHAM AT NORTHLAKE, BLDG F
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:678-406-9707
Practice Address - Fax:678-406-9881
Is Sole Proprietor?:No
Enumeration Date:2009-04-29
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005507101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional