Provider Demographics
NPI:1437787603
Name:SOLIS PSYCHOTHERAPY, A MARRIAGE & FAMILY THERAPY CORP.
Entity Type:Organization
Organization Name:SOLIS PSYCHOTHERAPY, A MARRIAGE & FAMILY THERAPY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ISCEL-CATTLEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLIS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:565-481-1821
Mailing Address - Street 1:5150 E PACIFIC COAST HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90804-3399
Mailing Address - Country:US
Mailing Address - Phone:562-999-2317
Mailing Address - Fax:
Practice Address - Street 1:5150 E PACIFIC COAST HWY STE 200
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3399
Practice Address - Country:US
Practice Address - Phone:562-999-2317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty