SOLACE LLC NPI 1134346661

NPI Information

NPI: 1134346661
Provider Name: SOLACE, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3097 BROAD ST
CHATTANOOGA, TN
ZIP 37408
Phone: (423) 752-5207
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SOLACE, LLC is a mental health (including community mental health center) clinic center in Chattanooga, TN. SOLACE, LLC NPI is 1134346661. The provider is registered as an organization entity type.

The provider's business location address is:

3097 BROAD ST
CHATTANOOGA, TN
ZIP 37408-093
Phone: (423) 752-5207
Fax: (423) 752-5299

The provider's authorized official is Jan F. Sherbak .
The authorized official title is Clinical Director/owner and has the following contact phone number (423) 752-5207.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 1/28/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4055601	OTHER	TENNESSEE	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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