Provider Demographics
NPI:1831383413
Name:SOLIS, RICARDO ALFONSO (PHD, LPC, LCDC)
Entity type:Individual
Prefix:MR
First Name:RICARDO
Middle Name:ALFONSO
Last Name:SOLIS
Suffix:
Gender:M
Credentials:PHD, LPC, LCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6000 WELCH AVE
Mailing Address - Street 2:SUITE 15
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79905-1898
Mailing Address - Country:US
Mailing Address - Phone:915-408-7125
Mailing Address - Fax:915-757-0772
Practice Address - Street 1:6000 WELCH AVE
Practice Address - Street 2:SUITE 15
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-1898
Practice Address - Country:US
Practice Address - Phone:915-408-7125
Practice Address - Fax:915-757-0772
Is Sole Proprietor?:No
Enumeration Date:2007-08-28
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0071041101YA0400X
TX7919101YA0400X
TX66119101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMVNM30451NIOtherVALUE OPTIONS