Solace Counseling, LLC

NPI #1578137980 in Blackfoot, Idaho

Provider Information

NPI Number: 1578137980
Entity Type: Organization
Organization Name: Solace Counseling, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: May 19, 2021
Last Updated: Aug 4, 2021

Practice Location

Address: 725 JENSEN GROVE DR STE 4
City: Blackfoot
State: Idaho
ZIP Code: 83221-1636
Phone: (208) 274-4565

Authorized Official

Name: NICOLE DIXON, LCSW
Title: OWNER/MENTAL HEALTH THERAPIST
Phone: (801) 458-4170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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