Healthcare Provider Details

I. General information

NPI: 1932013240
Provider Name (Legal Business Name): AVION SOLIS-MCKINNEY
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2266 N PROSPECT AVE STE 304
MILWAUKEE WI
53202-6306
US

IV. Provider business mailing address

8909 W STARK ST
MILWAUKEE WI
53225-4114
US

V. Phone/Fax

Practice location:
  • Phone: 414-405-0670
  • Fax:
Mailing address:
  • Phone: 414-629-8625
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: