Provider Demographics
NPI:1861633992
Name:SOLUTIONS FOR EMPLOYEE ADVANCEMENT LLC
Entity Type:Organization
Organization Name:SOLUTIONS FOR EMPLOYEE ADVANCEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOLORES
Authorized Official - Middle Name:
Authorized Official - Last Name:LEXANDRA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LCSW
Authorized Official - Phone:954-647-5737
Mailing Address - Street 1:4225 A1A S STE 1
Mailing Address - Street 2:PMB 136
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32080-7425
Mailing Address - Country:US
Mailing Address - Phone:904-302-7303
Mailing Address - Fax:
Practice Address - Street 1:4225 A1A S
Practice Address - Street 2:STE 1 PMB 136
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32080-7425
Practice Address - Country:US
Practice Address - Phone:904-302-7303
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-19
Last Update Date:2011-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW53251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty