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Organization
SOLACE CARE NETWORK LLC
Active
Organization
SOLACE CARE NETWORK LLC
Active
Other names
Solace Care Network, Solace Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY DAVIS DNP, FNP-BC, PMHNP (PRESIDENT)
(314) 669-3075
Entity
Organization
Contact information
Practice address
1046 GEYER GRV, KIRKWOOD, MO 63122-5884
(314) 669-3075
(314) 696-6886
Mailing address
1046 GEYER GRV, KIRKWOOD, MO 63122-5884
(618) 409-6448
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
NULL
103TC1900X
Counseling Psychologist
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
11/03/2024
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