# SOLACE EMOTIONAL HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013370402
- **Authorized official:** JERRY REDD PHD (OWNER)
- **Authorized official phone:** (801) 785-8885

## Contact information

- **Practice address:** 1364 W STATE RD, \#204, PLEASANT GROVE, UT 84062-4109
- **Practice address phone:** (801) 785-8885
- **Mailing address:** 1364 W STATE RD, \#204, PLEASANT GROVE, UT 84062-4109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 55044786004 | UT | Yes |

## Other

- **Enumeration date:** 04/01/2016
- **Last updated:** 04/01/2016