Healthcare Provider Details

I. General information

NPI: 1821940495
Provider Name (Legal Business Name): SOLARA MENTAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 CADENCE PARK PLZ STE 146
MICHIGAN CITY IN
46360-3332
US

IV. Provider business mailing address

1 CADENCE PARK PLZ STE 146
MICHIGAN CITY IN
46360-3332
US

V. Phone/Fax

Practice location:
  • Phone: 315-547-0502
  • Fax:
Mailing address:
  • Phone: 315-547-0502
  • 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: SAKIF AHMED
Title or Position: PMHNP
Credential:
Phone: 315-547-0502