Provider Demographics
NPI:1144516725
Name:SOLDINI, ANNETTE P (MS, LMHC)
Entity type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:P
Last Name:SOLDINI
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 SARNO ROAD
Mailing Address - Street 2:SUITE 12
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32935
Mailing Address - Country:US
Mailing Address - Phone:321-795-8355
Mailing Address - Fax:
Practice Address - Street 1:1600 SARNO ROAD
Practice Address - Street 2:SUITE 12
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32935
Practice Address - Country:US
Practice Address - Phone:321-795-8355
Practice Address - Fax:321-610-8972
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-22
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLIMH 8891101YM0800X
FLMH11702101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health