Provider Demographics
NPI:1700243011
Name:SOLOMON, ARKEIA
Entity Type:Individual
Prefix:
First Name:ARKEIA
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 TIMBER CIRCLE
Mailing Address - Street 2:
Mailing Address - City:TAYLOR
Mailing Address - State:LA
Mailing Address - Zip Code:71080
Mailing Address - Country:US
Mailing Address - Phone:318-652-1463
Mailing Address - Fax:
Practice Address - Street 1:222 RUE DE JEAN
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70508-3388
Practice Address - Country:US
Practice Address - Phone:318-652-1463
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-19
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 171M00000X
LA14000104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator