Provider Demographics
NPI:1497094783
Name:SOLIS, MORGAN BRITTANY
Entity Type:Individual
Prefix:MRS
First Name:MORGAN
Middle Name:BRITTANY
Last Name:SOLIS
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:MORGAN
Other - Middle Name:BRITTTANY
Other - Last Name:SOLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9705 SQUIRE LN
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-7359
Mailing Address - Country:US
Mailing Address - Phone:405-585-7168
Mailing Address - Fax:
Practice Address - Street 1:107 N MAIN ST
Practice Address - Street 2:
Practice Address - City:KINGFISHER
Practice Address - State:OK
Practice Address - Zip Code:73750-2720
Practice Address - Country:US
Practice Address - Phone:405-375-3963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health