Solace Counseling,LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOLACE COUNSELING,LLC

Practice address

4319 N Dryden St
Prescott Valley, AZ 86314-9397

Phone

(928) 350-7503

NPI assigned

Feb 9, 2023

Last updated

Mar 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nooshin Adib, LPC COUNSELORNPI 1295293033

Title

Manager/Owner/Provider

Phone

(928) 350-7503

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nooshin Adib, LPC COUNSELOR

  • Professional Counselor
  • Prescott Valley, AZ
  • NPI 1295293033
  NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1376240382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4319 N DRYDEN ST",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149397",
            "telephone_number": "928-350-7503",
            "fax_number": "928-441-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4319 N DRYDEN ST",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863149397",
            "telephone_number": "928-350-7503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE COUNSELING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "ADIB",
        "authorized_official_first_name": "NOOSHIN",
        "authorized_official_title_or_position": "MANAGER/OWNER/PROVIDER",
        "authorized_official_telephone_number": "928-350-7503",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Prescott Valley, AZ
• Providers in Prescott Valley, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.