Organization
SOLACE BEHAVIORAL HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANVEER A. CHAUDHRY MD (PRESIDENT, CEO)
(352) 678-5550
Entity
Organization
Contact information
Practice address
17222 HOSPITAL BLVD STE 120, BROOKSVILLE, FL 34601-8906
(352) 678-5550
(352) 678-5551
Mailing address
4800 ROWAN RD, NEW PORT RICHEY, FL 34653-5609
(727) 483-5912
(727) 376-3652
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010023100
—
FL
01
—
DU2657
MEDICARE RAIL ROAD
FL
01
—
GW088A
MEDICARE
FL
Enumeration date
09/17/2012
Last updated
10/15/2025
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