Healthcare Provider Details

I. General information

NPI: 1841734167
Provider Name (Legal Business Name): PARENT SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2016
Last Update Date: 12/05/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1625 THE ALAMEDA SUITE 207
SAN JOSE CA
95126-2220
US

IV. Provider business mailing address

PO BOX 111573
CAMPBELL CA
95011-1573
US

V. Phone/Fax

Practice location:
  • Phone: 408-292-4357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number29861
License Number StateCA

VIII. Authorized Official

Name: FELICIA ELIAZAR
Title or Position: CEO
Credential:
Phone: 408-292-4357