Provider Demographics
NPI:1497167951
Name:MOLINA, SONYA (LMSW)
Entity Type:Individual
Prefix:
First Name:SONYA
Middle Name:
Last Name:MOLINA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17134 WILLIAMS DR
Mailing Address - Street 2:
Mailing Address - City:HOLLY
Mailing Address - State:MI
Mailing Address - Zip Code:48442-9187
Mailing Address - Country:US
Mailing Address - Phone:734-412-8222
Mailing Address - Fax:
Practice Address - Street 1:17134 WILLIAMS DR
Practice Address - Street 2:
Practice Address - City:HOLLY
Practice Address - State:MI
Practice Address - Zip Code:48442-9187
Practice Address - Country:US
Practice Address - Phone:734-412-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-02
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010944751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical