Organization
SOLACE LIFE CHANGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARLEEKA LEWIS TCADC, TCM (OWNER)
(502) 963-5677
Entity
Organization
Contact information
Practice address
2801 VIRGINIA AVE UNIT 2, LOUISVILLE, KY 40211-3418
(502) 702-9366
(502) 963-5938
Mailing address
2801 VIRGINIA AVE UNIT 2, LOUISVILLE, KY 40211-3418
(502) 963-5677
(502) 963-5591
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
10/06/2025
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