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General NPI Number Information
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NPI Number | 1932124195
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Entity Type | Individual
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Provider Name | CARL MAXWELL SOELZER LMHC
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 303 BEAR DR
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City | GULF BREEZE
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State | FL
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Zip | 32561-4217
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Country | US
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Telephone | 850-450-0872
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Fax | 850-932-3310
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Provider Business Mailing Address
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Address Line | PO BOX 1466
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City | GULF BREEZE
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State | FL
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Zip | 32562-1466
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Country | US
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Telephone | 850-450-0872
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Fax | 850-932-3310
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH 8774
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License Number State | FL
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