Provider Demographics
NPI:1942878111
Name:SOLIS-SILVA, LILLIAN G (LMFT)
Entity Type:Individual
Prefix:MS
First Name:LILLIAN
Middle Name:G
Last Name:SOLIS-SILVA
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 1:1550 MADRUGA AVE STE 331
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-3094
Mailing Address - Country:US
Mailing Address - Phone:305-972-2579
Mailing Address - Fax:
Practice Address - Street 1:1550 MADRUGA AVE STE 331
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-3094
Practice Address - Country:US
Practice Address - Phone:305-972-2579
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3830106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist