Healthcare Provider Details

I. General information

NPI: 1356245013
Provider Name (Legal Business Name): SOL PSYCHOLOGICAL COUNSELING COMMUNITY AND CONSULTING SRVS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

383 PRATT DR SE UNIT 510
ATLANTA GA
30315-2189
US

IV. Provider business mailing address

383 PRATT DR SE UNIT 510
ATLANTA GA
30315-2189
US

V. Phone/Fax

Practice location:
  • Phone: 732-765-2239
  • Fax: 732-454-4650
Mailing address:
  • Phone: 732-765-2239
  • Fax: 732-454-4650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. AZIZA BELCHER PLATT
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 732-765-2239