Provider Demographics
NPI:1619719879
Name:SOLWAY, SABREENA (MA, LMFT)
Entity type:Individual
Prefix:
First Name:SABREENA
Middle Name:
Last Name:SOLWAY
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:SABREENA
Other - Middle Name:
Other - Last Name:BOYUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7767 ELM CREEK BLVD N STE 220
Mailing Address - Street 2:
Mailing Address - City:MAPLE GROVE
Mailing Address - State:MN
Mailing Address - Zip Code:55369-7067
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7767 ELM CREEK BLVD N STE 220
Practice Address - Street 2:
Practice Address - City:MAPLE GROVE
Practice Address - State:MN
Practice Address - Zip Code:55369-7067
Practice Address - Country:US
Practice Address - Phone:612-516-5660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-10
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4468101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health