Healthcare Provider Details

I. General information

NPI: 1801243431
Provider Name (Legal Business Name): ZEFERINO SOLIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/24/2016
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 N GREEN VALLEY PKWY STE 260
HENDERSON NV
89074-7100
US

IV. Provider business mailing address

6060 W LA MADRE WAY
LAS VEGAS NV
89130-2102
US

V. Phone/Fax

Practice location:
  • Phone: 702-569-3240
  • Fax:
Mailing address:
  • Phone: 702-569-3240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCP1198
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: