Provider Demographics
NPI:1720598170
Name:SOLTIS, TEXIE
Entity Type:Individual
Prefix:
First Name:TEXIE
Middle Name:
Last Name:SOLTIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10075 BERGIN RD. STE C.
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:MI
Mailing Address - Zip Code:48843
Mailing Address - Country:US
Mailing Address - Phone:313-405-9507
Mailing Address - Fax:810-272-4991
Practice Address - Street 1:10075 BERGIN RD. STE C.
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:MI
Practice Address - Zip Code:48843
Practice Address - Country:US
Practice Address - Phone:313-405-9507
Practice Address - Fax:810-272-4991
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-11
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical