Solace Wellness Management Service, Llc

LBN: Solace Wellness Management Service, Llc
Solace Wellness Management Service, Llc is an health care organization with primary practice located at 4203 S 37Th St , Phoenix AZ 85040-1813. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is the primary health care specialty. Solace Wellness Management Service, Llc can be contacted via phone (480) 704-4707, or through Johnson, Ezekiel via phone (480) 704-4707.

Contact Information

Primary practice address
4203 S 37Th St Phoenix AZ 85040-1813
Phone: (480) 704-4707
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Ezekiel
Phone: (480) 704-4707

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X

Profile Details

NPI number 1912250119
LBN Legal business name Solace Wellness Management Service, Llc
DBA Doing business as
Authorized official Johnson, Ezekiel
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2012
Last updated May 7th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers