Healthcare Provider Details

I. General information

NPI: 1780729129
Provider Name (Legal Business Name): SOLUTIONS OF HICKORY, PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2007
Last Update Date: 06/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 14TH AVE NE SUITE 101
HICKORY NC
28601
US

IV. Provider business mailing address

326 2ND AVE NW
HICKORY NC
28601-4944
US

V. Phone/Fax

Practice location:
  • Phone: 828-328-4313
  • Fax: 828-328-4820
Mailing address:
  • Phone: 828-328-4313
  • Fax: 828-328-4820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ELYSE FRAN FREILICH
Title or Position: PSYCHOLOGIST - OWNER
Credential: PHD
Phone: 828-328-4313