SOLACE WELLNESS MANAGEMENT SERVICE, LLC
NPI 1912250119
Psychologist - Rehabilitation in Phoenix, AZ

Q: What is Solace Wellness Management Service, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

Active since October 25, 2012

4203 S 37TH ST, PHOENIX, AZ 85040(480) 704-4707 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Solace Wellness Management Service, Llc NPPES

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

SOLACE WELLNESS MANAGEMENT SERVICE, LLC (NPI 1912250119) is a healthcare organization registered as a rehabilitation in Phoenix, Arizona and active in the NPI registry since October 2012. The organization lists Ezekiel Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912250119

Entity TypeOrganization

Primary Taxonomy103TR0400X

Legal Business NameSOLACE WELLNESS MANAGEMENT SERVICE, LLC

Location Address4203 S 37TH STPhoenix, AZ 85040-1813

Mailing Address4203 S 37th StPhoenix, AZ 85040-1813 · (480) 704-4707

Phone(480) 704-4707

Organization SubpartNo

Authorized OfficialEzekiel JohnsonExecutive Director · (480) 704-4707

Enumeration DateOctober 25, 2012

Last NPPES UpdateMay 7, 2015

✔ NPI 1912250119 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyPsychologist · RehabilitationBehavioral Health & Social Service Providers

Taxonomy Code103TR0400X

Definition

A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and functional difficulties, and help people to overcome barriers to participation in life activities. Rehabilitation psychologists are involved in practice, research, and advocacy, with the broad goal of fostering independence and opportunity for people with disabilities.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedBehavior AnalystTaxonomy 103K00000X

Also ListedPsychologist · Addiction (Substance Use Disorder)Taxonomy 103TA0400X

Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X

4203 S 37TH ST, Phoenix, AZ 85040

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Solace Wellness Management Service, LLC's NPI number?

The NPI number for Solace Wellness Management Service, LLC is 1912250119. It was assigned to this organization in the NPPES registry on October 25, 2012.

Where is Solace Wellness Management Service, LLC located?

Solace Wellness Management Service, LLC is located at 4203 S 37th St, Phoenix, AZ 85040. The listed phone number is (480) 704-4707.

What is Solace Wellness Management Service, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Rehabilitation, with taxonomy code 103TR0400X.

When was this NPI record last updated?

The NPPES record for Solace Wellness Management Service, LLC was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.