| Solstice Child And Family Wellness Pllc | |
|
9214 N Vicksburg Park Ct Charlotte NC 28210-7640 | |
| (407) 803-2390 | |
| Not Available |
| Full Name | Solstice Child And Family Wellness Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 9214 N Vicksburg Park Ct, Charlotte, North Carolina |
| Authorized Official Name and Position | Madalyn Derrick (OWNER) |
| Authorized Official Contact | 4078032390 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solstice Child And Family Wellness Pllc 9214 N Vicksburg Park Ct Charlotte NC 28210-7640 Ph: () - | Solstice Child And Family Wellness Pllc 9214 N Vicksburg Park Ct Charlotte NC 28210-7640 Ph: (407) 803-2390 |
| NPI Number | 1134943848 |
|---|---|
| Provider Enumeration Date | 11/09/2024 |
| Last Update Date | 11/09/2024 |
| Certification Date | 11/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134943848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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