Provider Demographics
NPI:1558423970
Name:SOLOMON, TARSA HAND (LMHC,CAP,NCC)
Entity Type:Individual
Prefix:MRS
First Name:TARSA
Middle Name:HAND
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LMHC,CAP,NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3040 N WICKHAM RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935-2369
Mailing Address - Country:US
Mailing Address - Phone:321-956-0944
Mailing Address - Fax:321-751-7055
Practice Address - Street 1:3040 N WICKHAM RD
Practice Address - Street 2:SUITE 10
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935-2369
Practice Address - Country:US
Practice Address - Phone:321-956-0944
Practice Address - Fax:321-751-7055
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL61531101Y00000X
FL2137L101YA0400X
FLMH5309101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health