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NPI Code Detail

MEDICARE: SOLACE NEVADA

MEDICARE: SOLACE NEVADA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1427991918
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLACE NEVADA
Provider Business Mailing Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 603-548-6287
Fax Number :
Provider Business Practice Location Address
First Line : 1180 N TOWN CENTER DR STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89144-6308
Country : US
Telephone Number : 603-548-6287
Fax Number :
Authorized Official
Title or Position : FOUNDER
Name : KATELYN RUTH MULLETT
Credential : LCSW
Telephone Number : 603-548-6287
Provider Enumeration Date : 04/10/2026
Last Update Date : 04/10/2026

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Directions to “SOLACE NEVADA ” Practice Location

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