Provider Demographics
NPI:1285014977
Name:SOLOMON'S PORCH COUNSELING CENTER
Entity Type:Organization
Organization Name:SOLOMON'S PORCH COUNSELING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:O'NEIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-629-6340
Mailing Address - Street 1:6767 W CHARLESTON BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-9004
Mailing Address - Country:US
Mailing Address - Phone:702-629-6340
Mailing Address - Fax:702-629-7928
Practice Address - Street 1:6767 W CHARLESTON BLVD STE 150
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9004
Practice Address - Country:US
Practice Address - Phone:702-629-6340
Practice Address - Fax:702-629-7928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health