SOLACE GROVE PSYCHOTHERAPY NPI 1497629695

NPI Information

  • NPI: 1497629695
  • Provider Name: SOLACE GROVE PSYCHOTHERAPY
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 6325 WOODSIDE CT
    COLUMBIA, MD
    ZIP 21046
  • Phone: (410) 886-6202

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NPI Details

SOLACE GROVE PSYCHOTHERAPY is a mental health counselor in Columbia, MD. SOLACE GROVE PSYCHOTHERAPY NPI is 1497629695. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6325 WOODSIDE CT
COLUMBIA, MD
ZIP 21046-017
Phone: (410) 886-6202

The provider's authorized official is Jacob Alexander Moore .
The authorized official title is Founder/psychologist and has the following contact phone number (301) 272-5080.

The enumeration date for this NPI number is 10/1/2025 and was last updated on 10/1/2025.

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
1101YM0800XCounselorMental HealthYes

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

NPI Synchronization or Removal

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