Provider Demographics
NPI:1356104756
Name:MAPLE SEED COUNSELING PLLC
Entity type:Organization
Organization Name:MAPLE SEED COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHELSEA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:SOLORZANO
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-541-6596
Mailing Address - Street 1:845 HANSON CT
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-2848
Mailing Address - Country:US
Mailing Address - Phone:916-541-6596
Mailing Address - Fax:
Practice Address - Street 1:800 ROOSEVELT RD STE E220
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-5868
Practice Address - Country:US
Practice Address - Phone:630-378-8202
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty