Organization Active NPI

Solace Psychotherapy

  • Clinical Psychologist
  • Greenville, SC
National Provider Identifier
1740705102
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1372 Issued in SC
Legal business name
SOLACE PSYCHOTHERAPY
Practice address
124 Edinburgh Court
105
Greenville, SC 29609
Phone
(864) 603-8976
Fax
(888) 774-5337
NPI assigned
Aug 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Dr. Gina Marie Love, PSY.D.
Title
Owner
Phone
(864) 603-8976

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X 1372 SC Primary

Addresses

Primary practice location

124 Edinburgh Court
105
Greenville, SC 29609

Mailing address

15 Villa Rd Apt 296
Greenville, SC 29615-3080
Phone (864) 603-8976

National Provider Directory

National Provider Directory

Practitioners & 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": "1502064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1740705102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VILLA RD APT 296",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296153080",
            "telephone_number": "864-603-8976",
            "fax_number": "888-774-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 EDINBURGH COURT",
            "address_2": "105",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "29609",
            "telephone_number": "864-603-8976",
            "fax_number": "888-774-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "GINA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-603-8976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.