Solace Health and Wellness, LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

SOLACE HEALTH AND WELLNESS, LLC

Practice address

4605 Chestnut Oak St
Loganville, GA 30052-9408

Phone

(423) 227-8576

NPI assigned

Feb 1, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Stephanie Denise Jackson, BSN, RNNPI 1902559784

Title

Owner

Phone

(423) 227-8576

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie D Jackson, RN

  • Registered Nurse
  • Loganville, GA
  • NPI 1902559784
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1043963838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 CHESTNUT OAK ST",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529408",
            "telephone_number": "423-227-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 CHESTNUT OAK ST",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300529408",
            "telephone_number": "423-227-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-227-8576",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Tonta Michelle Snow
• Isabelle D Snowden, PHARMACIST
• Roderick Snowden
• Sofia Care at Home
• Justin Jaewoong Sol
• Lamrot Solomon, DMD
• Sona Baile
• Yolanda Velez Sostre
• Southeastern Scientific Supply Company LLC
• Southern Comfort Pain & Wellness

• Clinical Medical Laboratory in Loganville, GA
• Providers in Loganville, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.