Provider Demographics
NPI:1912371741
Name:COLE, SOLANGE D (LCSW)
Entity Type:Individual
Prefix:
First Name:SOLANGE
Middle Name:D
Last Name:COLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4878 FINLAY ST
Mailing Address - Street 2:
Mailing Address - City:HENRICO
Mailing Address - State:VA
Mailing Address - Zip Code:23231-2810
Mailing Address - Country:US
Mailing Address - Phone:804-922-3740
Mailing Address - Fax:804-222-3737
Practice Address - Street 1:4878 FINLAY ST
Practice Address - Street 2:
Practice Address - City:HENRICO
Practice Address - State:VA
Practice Address - Zip Code:23231-2810
Practice Address - Country:US
Practice Address - Phone:804-922-3740
Practice Address - Fax:904-222-3737
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-17
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040092231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical