Solace Bay Counseling Associates, LLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

SOLACE BAY COUNSELING ASSOCIATES, LLC

Practice address

4229 Lavaque Rd
Hermantown, MN 55811-3672

Phone

(218) 269-4237

NPI assigned

Mar 17, 2020

Last updated

Mar 17, 2020By 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

Billie J Larson, LMFT, LPCC

Title

Owner

Phone

(218) 269-4237

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584403200000",
    "number": "1649806191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4229 LAVAQUE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113672",
            "telephone_number": "218-269-4237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4229 LAVAQUE RD",
            "city": "HERMANTOWN",
            "state": "MN",
            "postal_code": "558113672",
            "telephone_number": "218-269-4237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE BAY COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-17",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "BILLIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "218-269-4237",
        "authorized_official_credential": "LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Taylor Sirard
• Pheobe R Slayton
• Willow Christine Sloan
• Lindsey Lucille Sobania, CNA
• Madelyn Soderberg
• Seth Sorum
• St. Luke's Hospital of Duluth (Aspirus St Lukes Urgent Care Hermantown)
• Kayloni Mary Stanley, RBT
• Kyra Lee Stark
• Kallan Stedje

• Marriage & Family Therapist in Hermantown, MN
• Providers in Hermantown, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.