Healthcare Provider Details

I. General information

NPI: 1275496325
Provider Name (Legal Business Name): SOLARA PSYCHIATRY & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 JESSE HILL JUNIOR DR
ATLANTA GA
30303
US

IV. Provider business mailing address

113 S PERRY ST STE 206
LAWRENCEVILLE GA
30046-4811
US

V. Phone/Fax

Practice location:
  • Phone: --
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: IRENE OKOGIE
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: DNP, PMHNP
Phone: --