Provider Demographics
NPI:1912605544
Name:SOLUTIONS FAMILY COUNSELING CENTER CORP
Entity Type:Organization
Organization Name:SOLUTIONS FAMILY COUNSELING CENTER CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMFT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:DOMINGUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA PSYCH
Authorized Official - Phone:661-865-2352
Mailing Address - Street 1:6505 BRIDGEPORT LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-3404
Mailing Address - Country:US
Mailing Address - Phone:661-865-2352
Mailing Address - Fax:
Practice Address - Street 1:6505 BRIDGEPORT LN
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-3404
Practice Address - Country:US
Practice Address - Phone:661-865-2352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health