# SOLID ROCK FAMILY LIFE CENTER, LLC

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

## Provider details

- **NPI number:** 1609418821
- **Authorized official:** MS. PHYLLISTINE SIMMONS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (252) 287-3562

## Contact information

- **Practice address:** 140 W WASHINGTON ST STE 108, SUFFOLK, VA 23434-5254
- **Practice address phone:** (757) 539-0315
- **Practice address fax:** (757) 539-0317
- **Mailing address:** 123 E TELLIE LAWRENCE RD, MURFREESBORO, NC 27855-9720
- **Mailing address phone:** (252) 287-8713

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2019
- **Last updated:** 01/19/2023