| Solaris Counseling Services, Llc | |
|
721 Ashley Dr Crestview FL 32536-9231 | |
| (352) 478-4005 | |
| (352) 478-4006 |
| Full Name | Solaris Counseling Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 721 Ashley Dr, Crestview, Florida |
| Authorized Official Name and Position | Novella Moffitt (OWNER/OPERATOR/BILLER) |
| Authorized Official Contact | 3524513888 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solaris Counseling Services, Llc 721 Ashley Dr Crestview FL 32536-9231 Ph: (352) 478-4005 | Solaris Counseling Services, Llc 721 Ashley Dr Crestview FL 32536-9231 Ph: (352) 478-4005 |
| NPI Number | 1174219794 |
|---|---|
| Provider Enumeration Date | 04/17/2023 |
| Last Update Date | 04/17/2023 |
| Certification Date | 04/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174219794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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