| Solaz, Llc | |
|
6512 Six Forks Rd Ste 200 Raleigh NC 27615-6525 | |
| (845) 893-7096 | |
| Not Available |
| Full Name | Solaz, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6512 Six Forks Rd Ste 200, Raleigh, North Carolina |
| Authorized Official Name and Position | Eduvigis Margarita Estrella (MEMBER) |
| Authorized Official Contact | 8459837096 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Solaz, Llc 2231 E Millbrook Rd Ste 101 Raleigh NC 27604-1746 Ph: (845) 893-7096 | Solaz, Llc 6512 Six Forks Rd Ste 200 Raleigh NC 27615-6525 Ph: (845) 893-7096 |
| NPI Number | 1457608291 |
|---|---|
| Provider Enumeration Date | 08/10/2012 |
| Last Update Date | 05/16/2016 |
| Medicare PECOS PAC ID | 7113213604 |
|---|---|
| Medicare Enrollment ID | O20160909000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457608291 | NPI | - | NPPES |
| Provider Name | Eric Mizelle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780737072 PECOS PAC ID: 4486619103 Enrollment ID: I20130122000339 |
| Provider Name | Evelyn A Knez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053755884 PECOS PAC ID: 2769746478 Enrollment ID: I20180504001357 |
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