SOLACE LIFE CHANGE LLC NPI 1255123915

NPI Information

  • NPI: 1255123915
  • Provider Name: SOLACE LIFE CHANGE LLC
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Organization
  • Address: 2801 VIRGINIA AVE UNIT 2
    LOUISVILLE, KY
    ZIP 40211
  • Phone: (502) 702-9366

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NPI Details

SOLACE LIFE CHANGE LLC is an addiction (substance use disorder) counselor in Louisville, KY. SOLACE LIFE CHANGE LLC NPI is 1255123915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2801 VIRGINIA AVE UNIT 2
LOUISVILLE, KY
ZIP 40211-418
Phone: (502) 702-9366
Fax: (502) 963-5938

The provider's authorized official is Sharleeka Lewis .
The authorized official title is Owner and has the following contact phone number (502) 963-5677.

The enumeration date for this NPI number is 5/20/2025 and was last updated on 10/6/2025.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)Yes

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: 11/21/2025

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