Healthcare Provider Details
I. General information
NPI: 1215855366
Provider Name (Legal Business Name): SOLARIS HEALTH ADVISORS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15321 NW 60TH AVE STE 106
MIAMI LAKES FL
33014-2484
US
IV. Provider business mailing address
15321 NW 60TH AVE STE 106
MIAMI LAKES FL
33014-2484
US
V. Phone/Fax
- Phone: 786-302-8041
- Fax: 305-512-5388
- Phone: 786-302-8041
- Fax: 305-512-5388
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103T00000X |
| Taxonomy | Psychologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ABRAHAM
NAMMUR
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 786-302-8041