Healthcare Provider Details

I. General information

NPI: 1619850161
Provider Name (Legal Business Name): SOLACE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4492 S COLE ST
MORRISON CO
80465-1138
US

IV. Provider business mailing address

4492 S COLE ST
MORRISON CO
80465-1138
US

V. Phone/Fax

Practice location:
  • Phone: 720-204-1779
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ELISE THOMAS
Title or Position: THERAPIST
Credential:
Phone: 720-204-1779