Healthcare Provider Details

I. General information

NPI: 1932690724
Provider Name (Legal Business Name): SOLUTIO SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2018
Last Update Date: 05/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9402 W LAKE MEAD BLVD
LAS VEGAS NV
89134-8312
US

IV. Provider business mailing address

7556 TOWNSVILLE AVE
LAS VEGAS NV
89113-3277
US

V. Phone/Fax

Practice location:
  • Phone: 702-496-6716
  • Fax:
Mailing address:
  • Phone: 702-496-6716
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. BRENT FLADMO
Title or Position: PSYCHOLOGIST
Credential: PH.D.
Phone: 702-496-6716