Provider Demographics
NPI:1093571531
Name:SOLIS, ALEXANDRA (MSW, LACC, LCSWC)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:
Last Name:SOLIS
Suffix:
Gender:F
Credentials:MSW, LACC, LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 S 1ST ST
Mailing Address - Street 2:
Mailing Address - City:BENNETT
Mailing Address - State:CO
Mailing Address - Zip Code:80102-7860
Mailing Address - Country:US
Mailing Address - Phone:303-644-4240
Mailing Address - Fax:
Practice Address - Street 1:190 S 1ST ST
Practice Address - Street 2:
Practice Address - City:BENNETT
Practice Address - State:CO
Practice Address - Zip Code:80102-7860
Practice Address - Country:US
Practice Address - Phone:303-644-4240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health