Healthcare Provider Details

I. General information

NPI: 1043146244
Provider Name (Legal Business Name): NANCY M SOLIZ LPC, LCADC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

316 73RD ST
NORTH BERGEN NJ
07047-5622
US

IV. Provider business mailing address

316 73RD ST
NORTH BERGEN NJ
07047-5622
US

V. Phone/Fax

Practice location:
  • Phone: 201-212-8118
  • Fax: 201-212-8118
Mailing address:
  • Phone: 201-212-8118
  • Fax: 201-212-8118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number37LC00383500
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number37PC01276100
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: