Active NPI
Solaris Therapy, LLC
- Professional Counselor
- Royal Oak, MI
National Provider Identifier
1376130492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SOLARIS THERAPY, LLC
- Practice address
- 225 Girard Ave
Royal Oak, MI 48073-3464 - Phone
- (843) 302-1920
- NPI assigned
- Dec 22, 2020
- 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
- Carli Holmes, LPC
- Title
- Owner
- Phone
- (843) 302-1920
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
225 Girard Ave
Royal Oak, MI 48073-3464
Mailing address
225 Girard Ave
Royal Oak, MI 48073-3464
Phone (843) 302-1920
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608595200000",
"number": "1376130492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 GIRARD AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733464",
"telephone_number": "843-302-1920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 GIRARD AVE",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480733464",
"telephone_number": "843-302-1920"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOLARIS THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-12-22",
"last_updated": "2020-12-22",
"certification_date": "2020-12-22",
"status": "A",
"authorized_official_last_name": "HOLMES",
"authorized_official_first_name": "CARLI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "843-302-1920",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.