Provider Type Icon

SOLACE COUNSELING ASSOCIATES NPI 1144230186


NPI Information

NPI: 1144230186
Provider Name: SOLACE COUNSELING ASSOCIATES
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

CLIA Number: 45D2030618

Address:
1475 PRUDENTIAL DR
DALLAS, TX
ZIP 75235
Phone: (214) 522-4640
Get Directions

SOLACE COUNSELING ASSOCIATES is a rehabilitation and substance use disorder clinic center in Dallas, TX. SOLACE COUNSELING ASSOCIATES NPI is 1144230186. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1475 PRUDENTIAL DR
DALLAS, TX
ZIP 75235-109
Phone: (214) 522-4640
Fax: (214) 522-4650

The provider's authorized official is John Noel Odea .
The authorized official title is Administrative Director and has the following contact phone number (214) 522-4640.

The CLIA number assigned to this NPI record is 45D2030618 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/9/2006 and was last updated on 11/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor14647TEXASNo
2101Y00000XCounselor15717TEXASNo
3103TC0700XPsychologistClinical24933TEXASNo
42084A0401XPsychiatry & NeurologyAddiction MedicineJ4423TEXASNo
5251S00000XCommunity/Behavioral Health2174-ATEXASNo
6261QR0405XClinic/CenterRehabilitation, Substance Use Disorder3312TEXASYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1150488801MEDICAIDTEXAS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.