Healthcare Provider Details
I. General information
NPI: 1417564683
Provider Name (Legal Business Name): SOLUTIONS MENTAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/30/2020
Last Update Date: 10/16/2022
Certification Date: 10/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
11910 GREENVILLE AVE STE 511
DALLAS TX
75243-9388
US
IV. Provider business mailing address
11910 GREENVILLE AVE STE 511
DALLAS TX
75243-9388
US
V. Phone/Fax
- Phone: 214-937-9180
- Fax:
- Phone: 214-937-9180
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MOLLY
COOK
Title or Position: OWNER
Credential: LCSW-S
Phone: 214-937-9180