Provider Demographics
NPI:1275751836
Name:SOULUTIONS PSYCHOTHERAPY
Entity Type:Organization
Organization Name:SOULUTIONS PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEKSANDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:LJUBICIC
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-R
Authorized Official - Phone:212-543-1868
Mailing Address - Street 1:623 W 170TH ST
Mailing Address - Street 2:3D
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10032-3213
Mailing Address - Country:US
Mailing Address - Phone:212-543-1868
Mailing Address - Fax:212-543-1868
Practice Address - Street 1:99 UNIVERSITY PL
Practice Address - Street 2:404
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-4528
Practice Address - Country:US
Practice Address - Phone:212-543-1868
Practice Address - Fax:212-543-1868
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003224101YM0800X
NYR059740-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty