Provider Demographics
NPI:1972299964
Name:SOLA, SAIGE (MS, LAC)
Entity Type:Individual
Prefix:MRS
First Name:SAIGE
Middle Name:
Last Name:SOLA
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5405 E DESERT FOREST TRL
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85331-5576
Mailing Address - Country:US
Mailing Address - Phone:480-734-8707
Mailing Address - Fax:
Practice Address - Street 1:5405 E DESERT FOREST TRL
Practice Address - Street 2:
Practice Address - City:CAVE CREEK
Practice Address - State:AZ
Practice Address - Zip Code:85331-5576
Practice Address - Country:US
Practice Address - Phone:480-734-8707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-13
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-7664T101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health