| Sol Therapy Llc | |
|
601 Underwood St Ste 106 Zanesville OH 43701-3771 | |
| (330) 969-2104 | |
| (740) 870-2631 |
| Full Name | Sol Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 601 Underwood St Ste 106, Zanesville, Ohio |
| Authorized Official Name and Position | Kelly Henry (LISW-S OWNER) |
| Authorized Official Contact | 7402520796 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sol Therapy Llc Po Box 165 New Concord OH 43762-0165 Ph: (740) 586-0881 | Sol Therapy Llc 601 Underwood St Ste 106 Zanesville OH 43701-3771 Ph: (330) 969-2104 |
| NPI Number | 1588391353 |
|---|---|
| Provider Enumeration Date | 08/02/2022 |
| Last Update Date | 09/26/2023 |
| Certification Date | 09/26/2023 |
| Medicare PECOS PAC ID | 5698142008 |
|---|---|
| Medicare Enrollment ID | O20221027001545 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588391353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kelly L Henry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760936165 PECOS PAC ID: 8022384122 Enrollment ID: I20171017002733 |
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