Organization
SOL PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELIZABETH A BLACK LPCC, NCSP (OWNER)
(434) 996-6562
Entity
Organization
Contact information
Practice address
255 W HADLEY AVE, LAS CRUCES, NM 88005-1806
(434) 996-6562
Mailing address
255 W HADLEY AVE, LAS CRUCES, NM 88005-1806
(434) 996-6562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0149851
NM
Other
Enumeration date
02/23/2018
Last updated
02/23/2018
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