Healthcare Provider Details

I. General information

NPI: 1942874383
Provider Name (Legal Business Name): ALEXIS REED SOLOMON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2021
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 CAMBRIDGE SQ STE D
ALPHARETTA GA
30009-1869
US

IV. Provider business mailing address

1031 CAMBRIDGE SQ STE D
ALPHARETTA GA
30009-1869
US

V. Phone/Fax

Practice location:
  • Phone: 678-902-5159
  • Fax:
Mailing address:
  • Phone: 678-902-5159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC016162
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: