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SOLACIUM HOLDINGS, LLC
NPI 1306449970
Clinic/Center - Mental Health (Including Community Mental Health Center) in Vienna, VA

Active since November 17, 2020CLIA 49D2249200 · Waiver
1934 OLD GALLOWS RD STE 210, VIENNA, VA 22182(302) 383-0287 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Jun 20, 2023, Apr 3, 2023 and 2 more (5 updates tracked since 2020).

About Solacium Holdings, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOLACIUM HOLDINGS, LLC (NPI 1306449970) is a healthcare organization registered as a mental health (including community mental health center) in Vienna, Virginia and active in the NPI registry since November 2020. The organization holds a CLIA Waiver certificate valid through January 18, 2028 and lists Sharnell Spencer, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1306449970
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameSOLACIUM HOLDINGS, LLC
Location Address1934 OLD GALLOWS RD STE 210Vienna, VA 22182-4042
Mailing Address5500 Ming Ave Ste 410Bakersfield, CA 93309-4631 · (661) 622-4132
Phone(302) 383-0287
Organization SubpartYesParent: Solacium Holding Llc
Authorized OfficialSharnell SpencerCredentialing Manager · (661) 239-6923
Enumeration DateNovember 17, 2020
Last NPPES UpdateJune 5, 20255 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1306449970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1934 OLD GALLOWS RD STE 210, Vienna, VA 22182
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Other Names 1

Other NameEmbark At Tyson's Corner

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2249200

Solacium Holdings Llc- Embark At Tyson's Corner · Vienna, VA
Active · expires Jan 18, 2028
CLIA Number49D2249200
Laboratory TypeOp Mental Hlth Clinic
Certificate Effective DateJanuary 19, 2026
Certificate Expiration DateJanuary 18, 2028
Laboratory DirectorHarwant Gill
Laboratory Phone(571) 800-1105
Laboratory LocationSolacium Holdings Llc- Embark At Tyson's Corner1934 Old Gallows Road Suite 210, Vienna, VA 22182
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSAY INNIS LPC, ATR-P
Counselor
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (571) 587-3301
MRS. ABIGAIL HALL
Counselor (Mental Health)
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (571) 668-9033
HANNAH ELIZABETH WATTS LMSW
Social Worker
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (703) 782-4252
YARA GHASSAN ABDULLA MA
Counselor (Mental Health)
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (571) 587-3301
BEVERLEY ANN HOWARD
Social Worker (Clinical)
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (571) 587-3301
DEENA HABIBI
Counselor (Mental Health)
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (571) 587-3301
DONOVAN HOLLOWAY
Social Worker (Clinical)
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (571) 800-1105
LALA-MARIE PEREZ LMSW
Social Worker (Clinical)
1934 OLD GALLOWS RD STE 210
VIENNA, VA 22182
Fairfax County (571) 748-5913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Solacium Holdings, LLC's NPI number?

The NPI number for Solacium Holdings, LLC is 1306449970. It was assigned to this organization in the NPPES registry on November 17, 2020. The provider is also known as Embark at Tyson's Corner.

Where is Solacium Holdings, LLC located?

Solacium Holdings, LLC is located at 1934 Old Gallows Rd Ste 210, Vienna, VA 22182. The listed phone number is (302) 383-0287.

What is Solacium Holdings, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Does Solacium Holdings, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2249200) is associated with this NPI, valid through January 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Solacium Holdings, LLC was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.