Provider Demographics
NPI:1033509849
Name:SOLIS, SANDRA Y (LPC)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:Y
Last Name:SOLIS
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 1:1109 W NOLANA AVE STE 304
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78504-4623
Mailing Address - Country:US
Mailing Address - Phone:956-766-7575
Mailing Address - Fax:956-513-0490
Practice Address - Street 1:1109 W NOLANA AVE STE 304
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78504-4623
Practice Address - Country:US
Practice Address - Phone:956-766-7575
Practice Address - Fax:956-513-0490
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-01
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX69644101YM0800X, 101YP2500X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)