Organization
SOLACE MENTAL HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BARTZ PMHNP (CO-OWNER)
(443) 791-9780
Entity
Organization
Contact information
Practice address
811 RITCHIE HWY STE 15, SEVERNA PARK, MD 21146-4130
(410) 995-9993
(410) 995-8702
Mailing address
811 RITCHIE HWY STE 15, SEVERNA PARK, MD 21146-4130
(410) 995-9993
(410) 995-8702
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/28/2020
Last updated
04/21/2021
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