Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Solace Wellness Management Service, LLC

Organization Addiction (Substance Use Disorder) Counselor · NPI 1912250119

Solace Wellness Management Service, LLC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Registered with an NPI since 2012.

In the registry since
2012
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4203 S 37th St
Phoenix, AZ 85040-1813
Phone: (480) 704-4707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Psychologist (primary) Taxonomy 103TR0400X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Behavior Analyst Taxonomy 103K00000X
Addiction (Substance Use Disorder) Psychologist Taxonomy 103TA0400X
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X

Record details

NPI number1912250119
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ezekiel Johnson — Executive Director · (480) 704-4707
NPI enumeratedOctober 25, 2012
Last updated in NPPESMay 7, 2015
Mailing address4203 S 37th St, Phoenix, AZ 85040-1813

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