Active NPI
Solace Mind & Wellness
- Psychiatric/Mental Health Nurse Practitioner
- Randallstown, MD
National Provider Identifier
1306741434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- SOLACE MIND & WELLNESS
- Practice address
- 9504 Liberty Rd
Randallstown, MD 21133-2704 - Phone
- (410) 357-1121
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shayla Evans, NP
- Title
- Office Staff
- Phone
- (410) 357-1121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | Primary |
Addresses
Primary practice location
9504 Liberty Rd
Randallstown, MD 21133-2704
Mailing address
9603 Deereco Rd Unit 5316
Timonium, MD 21094-7575
Phone (410) 357-1121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791504000000",
"number": "1306741434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9603 DEERECO RD UNIT 5316",
"city": "TIMONIUM",
"state": "MD",
"postal_code": "210947575",
"telephone_number": "410-357-1121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9504 LIBERTY RD",
"city": "RANDALLSTOWN",
"state": "MD",
"postal_code": "211332704",
"telephone_number": "410-357-1121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLACE MIND & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "SHAYLA",
"authorized_official_title_or_position": "OFFICE STAFF",
"authorized_official_telephone_number": "410-357-1121",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Randallstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.