Healthcare Provider Details

I. General information

NPI: 1760393714
Provider Name (Legal Business Name): SOLACESPRING PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 SERGEANT RD
SIOUX CITY IA
51106-4774
US

IV. Provider business mailing address

5001 SERGEANT RD
SIOUX CITY IA
51106-4774
US

V. Phone/Fax

Practice location:
  • Phone: 712-624-2095
  • Fax:
Mailing address:
  • Phone: 712-499-0597
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: MONSURAT OMOLARA ADELEKE
Title or Position: FOUNDER
Credential: PMHNP
Phone: 712-624-2095