Provider Demographics
NPI:1942527742
Name:SOLIS, KEILA GISELL (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KEILA
Middle Name:GISELL
Last Name:SOLIS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 S UNIVERSITY DR
Mailing Address - Street 2:SUITE 6
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-2001
Mailing Address - Country:US
Mailing Address - Phone:954-888-7965
Mailing Address - Fax:954-472-0273
Practice Address - Street 1:3501 S UNIVERSITY DR
Practice Address - Street 2:SUITE 6
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-2001
Practice Address - Country:US
Practice Address - Phone:954-888-7965
Practice Address - Fax:954-472-0273
Is Sole Proprietor?:No
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2469106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist