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Organization
THE SOLACE CENTER
Active
Organization
THE SOLACE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWANA TORRENCE (CEO)
(336) 382-0178
Entity
Organization
Contact information
Practice address
9701 APOLLO DR, SUITE 461, LARGO, MD 20774-4783
(240) 714-3560
(240) 714-3561
Mailing address
1525 BOWMORE PL, MC LEANSVILLE, NC 27301-9248
(336) 471-8130
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
163W00000X
Registered Nurse
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Enumeration date
06/08/2015
Last updated
05/25/2016
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