| Solara Integrative Therapy Llc | |
|
2100 Egret Cir Evans GA 30809-4356 | |
| (706) 951-7644 | |
| Not Available |
| Full Name | Solara Integrative Therapy Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2100 Egret Cir, Evans, Georgia |
| Authorized Official Name and Position | Keith W. Edmonds (OWNER) |
| Authorized Official Contact | 7069517644 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solara Integrative Therapy Llc 2100 Egret Cir Evans GA 30809-4356 Ph: (706) 951-7644 | Solara Integrative Therapy Llc 2100 Egret Cir Evans GA 30809-4356 Ph: (706) 951-7644 |
| NPI Number | 1467277244 |
|---|---|
| Provider Enumeration Date | 11/18/2024 |
| Last Update Date | 11/18/2024 |
| Certification Date | 11/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467277244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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