Provider Demographics
NPI:1932124195
Name:SOELZER, CARL MAXWELL (LMHC)
Entity Type:Individual
Prefix:MR
First Name:CARL
Middle Name:MAXWELL
Last Name:SOELZER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:MR
Other - First Name:C.
Other - Middle Name:MAXWELL
Other - Last Name:SOELZER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:PO BOX 1466
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32562-1466
Mailing Address - Country:US
Mailing Address - Phone:850-450-0872
Mailing Address - Fax:850-932-3310
Practice Address - Street 1:303 BEAR DR
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32561-4217
Practice Address - Country:US
Practice Address - Phone:850-450-0872
Practice Address - Fax:850-932-3310
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH 8774101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health