Healthcare Provider Details

I. General information

NPI: 1154909539
Provider Name (Legal Business Name): SOL THERAPY SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2021
Last Update Date: 03/29/2021
Certification Date: 03/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24910 WASHINGTON AVE STE 202
MURRIETA CA
92562-9284
US

IV. Provider business mailing address

24910 WASHINGTON AVE STE 202
MURRIETA CA
92562-9284
US

V. Phone/Fax

Practice location:
  • Phone: 714-794-5433
  • Fax: 951-595-4912
Mailing address:
  • Phone: 714-794-5433
  • Fax: 951-595-4912

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: YESENIA SANCHEZ
Title or Position: OWNER
Credential: LCSW
Phone: 714-794-5433