Provider Demographics
NPI:1588957625
Name:SOLOMON, SAUDIA RENEE (LMFTA)
Entity type:Individual
Prefix:
First Name:SAUDIA
Middle Name:RENEE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2600 S SHORE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2943
Mailing Address - Country:US
Mailing Address - Phone:713-364-3719
Mailing Address - Fax:
Practice Address - Street 1:2600 S SHORE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2943
Practice Address - Country:US
Practice Address - Phone:713-364-3719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX201467106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist