Provider Demographics
NPI:1447613518
Name:AISOL, LLC
Entity Type:Organization
Organization Name:AISOL, LLC
Other - Org Name:ALL IN SOLUTIONS COUNSELING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CASEY
Authorized Official - Middle Name:
Authorized Official - Last Name:LIDLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-413-5755
Mailing Address - Street 1:4875 PARK RIDGE BLVD STE 103
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8345
Mailing Address - Country:US
Mailing Address - Phone:561-413-5755
Mailing Address - Fax:
Practice Address - Street 1:4875 PARK RIDGE BLVD STE 103
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-8345
Practice Address - Country:US
Practice Address - Phone:561-413-5755
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-05
Last Update Date:2019-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility