MEDICARE: MISS MARCIE M. SOLAND L.P.C., L.M.H.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	18088	TX
2	101YM0800X	Mental Health Counselor	004937	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033210059
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS MARCIE M. SOLAND L.P.C., L.M.H.C.

Provider Business Mailing Address
First Line	:	PO BOX 741
Second Line	:
City	:	FARMINGDALE
State	:	NY
Zip	:	11735-0741
Country	:	US
Telephone Number	:	516-457-3122
Fax Number	:

Provider Business Practice Location Address
First Line	:	3601 HEMPSTEAD TPKE
Second Line	:	SUITE 205
City	:	LEVITTOWN
State	:	NY
Zip	:	11756-1375
Country	:	US
Telephone Number	:	516-457-3122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/25/2006
Last Update Date	:	03/30/2017

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