Provider Demographics
NPI:1215097506
Name:SOLY, CAROL ANN (RN, LMHC, LMFT)
Entity type:Individual
Prefix:MRS
First Name:CAROL
Middle Name:ANN
Last Name:SOLY
Suffix:
Gender:F
Credentials:RN, LMHC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 840926
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33084-2926
Mailing Address - Country:US
Mailing Address - Phone:954-431-0454
Mailing Address - Fax:954-447-8988
Practice Address - Street 1:9000 SHERIDAN ST
Practice Address - Street 2:SUITE # 172
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-8802
Practice Address - Country:US
Practice Address - Phone:954-431-0454
Practice Address - Fax:954-447-8988
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH2281101YM0800X
FLMT1311106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health