Healthcare Provider Details

I. General information

NPI: 1841077435
Provider Name (Legal Business Name): SOLAR COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 03/15/2024
Certification Date: 03/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2880 DAVID WALKER DR # 135
EUSTIS FL
32726-6172
US

IV. Provider business mailing address

2880 DAVID WALKER DR # 135
EUSTIS FL
32726-6172
US

V. Phone/Fax

Practice location:
  • Phone: 407-906-7455
  • Fax:
Mailing address:
  • Phone: 407-906-7455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ELAYNE SOLER-CUMMINGS
Title or Position: OWNER/CLINICIAN
Credential: LCSW
Phone: 407-906-7455