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NPI Code Detail

MEDICARE: SAMANTHA SOLIS LMHCA

MEDICARE: SAMANTHA SOLIS LMHCA
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1679392872
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA SOLIS LMHCA
Provider Business Mailing Address
First Line : 123 18TH AVE E UNIT 310
Second Line :
City : SEATTLE
State : WA
Zip : 98112-5565
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7500 BANNER WAY NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-4176
Country : US
Telephone Number : 206-427-4679
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2024
Last Update Date : 10/07/2024

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Directions to “ SAMANTHA SOLIS LMHCA” Practice Location

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