Provider Demographics
NPI:1538707567
Name:SOLAS BEHAVIORAL HEALTH, PLLC
Entity type:Organization
Organization Name:SOLAS BEHAVIORAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CIZMAS
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:817-268-7050
Mailing Address - Street 1:207 S TYLER ST
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4934
Mailing Address - Country:US
Mailing Address - Phone:817-268-7050
Mailing Address - Fax:469-581-1886
Practice Address - Street 1:207 S TYLER ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4934
Practice Address - Country:US
Practice Address - Phone:814-268-7050
Practice Address - Fax:469-581-1886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-20
Last Update Date:2023-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty