Provider Demographics
NPI:1710128780
Name:ANNE ANTONIO & ASSOCIATES INC
Entity Type:Organization
Organization Name:ANNE ANTONIO & ASSOCIATES INC
Other - Org Name:SOLTIS & ASSOCIATES, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT / OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:SOLTIS
Authorized Official - Last Name:ANTONIO
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:440-918-1806
Mailing Address - Street 1:38039 W SPAULDING ST
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-6110
Mailing Address - Country:US
Mailing Address - Phone:440-918-1806
Mailing Address - Fax:440-918-1807
Practice Address - Street 1:38039 W SPAULDING ST
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-6110
Practice Address - Country:US
Practice Address - Phone:440-918-1806
Practice Address - Fax:440-918-1807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-20
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00060611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9382371Medicare PIN