Provider Demographics
NPI:1144341678
Name:RIBEIRO, SOLANGE (LPC, CRC)
Entity type:Individual
Prefix:MS
First Name:SOLANGE
Middle Name:
Last Name:RIBEIRO
Suffix:
Gender:F
Credentials:LPC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 PROVIDENCE PARK
Mailing Address - Street 2:SUITE 250
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35242-4697
Mailing Address - Country:US
Mailing Address - Phone:205-949-0960
Mailing Address - Fax:205-949-0965
Practice Address - Street 1:1800 PROVIDENCE PARK
Practice Address - Street 2:SUITE 250
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35242-4697
Practice Address - Country:US
Practice Address - Phone:205-949-0960
Practice Address - Fax:205-949-0965
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2074101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health