Solace Grove Psychiatry PLLC
Solace Grove Psychiatry PLLC is an Adult Mental Health Clinic/Center in Fairfax, Virginia. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 3
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
11350 Random Hills Rd Ste 856Fairfax, VA 22030-6044
Phone: (240) 554-7071
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X |
|---|---|
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Adolescent and Children Mental Health Clinic/Center | Taxonomy 261QM0855X |
Record details
| NPI number | 1851249486 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Sydonie Bongam — Provider (Rendering Provider) · (240) 554-7071 |
| NPI enumerated | March 19, 2026 |
| Last updated in NPPES | March 19, 2026 |
| Certification date | March 19, 2026 |
| Mailing address | 11350 Random Hills Rd Ste 856, Fairfax, VA 22030-6044 |
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