Provider Demographics
NPI:1811316482
Name:FAMILY SOLUTION THERAPY
Entity type:Organization
Organization Name:FAMILY SOLUTION THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAS SHAH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMFT
Authorized Official - Phone:888-429-4072
Mailing Address - Street 1:11767 S DIXIE HWY
Mailing Address - Street 2:124
Mailing Address - City:PINECREST
Mailing Address - State:FL
Mailing Address - Zip Code:33156-4438
Mailing Address - Country:US
Mailing Address - Phone:888-429-4072
Mailing Address - Fax:866-735-7140
Practice Address - Street 1:7685 SW 104TH ST
Practice Address - Street 2:100
Practice Address - City:PINECREST
Practice Address - State:FL
Practice Address - Zip Code:33156-3161
Practice Address - Country:US
Practice Address - Phone:888-429-4072
Practice Address - Fax:866-735-7140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2015-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2586251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health