Healthcare Provider Details

I. General information

NPI: 1619822079
Provider Name (Legal Business Name): SOLACE MARRIAGE AND FAMILY THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2026
Last Update Date: 03/02/2026
Certification Date: 03/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2829 NORTH AVE STE 102
GRAND JUNCTION CO
81501-4953
US

IV. Provider business mailing address

2829 NORTH AVE STE 102
GRAND JUNCTION CO
81501-4953
US

V. Phone/Fax

Practice location:
  • Phone: 402-739-2267
  • Fax:
Mailing address:
  • Phone: 402-739-2267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: HALEIGH WUSTER
Title or Position: OWNER/THERAPIST
Credential: MS, LMFT
Phone: 402-739-2267