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
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
11/03/2024
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