Healthcare Provider Details

I. General information

NPI: 1639034762
Provider Name (Legal Business Name): SOLACE PSYCHIATRY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

438 HOBRON LN PH 1
HONOLULU HI
96815-1238
US

IV. Provider business mailing address

438 HOBRON LN PH 1
HONOLULU HI
96815-1238
US

V. Phone/Fax

Practice location:
  • Phone: 916-572-6553
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. AHMAD BILALL STANACKZAI
Title or Position: OWNER
Credential: MD
Phone: 916-479-4393