Organization
SOLSTICE CHILD AND FAMILY WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADALYN DERRICK LCSWA (OWNER)
(407) 803-2390
Entity
Organization
Contact information
Practice address
9214 N VICKSBURG PARK CT, CHARLOTTE, NC 28210-7640
(407) 803-2390
Mailing address
9214 N VICKSBURG PARK CT, CHARLOTTE, NC 28210-7640
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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