Healthcare Provider Details

I. General information

NPI: 1417881723
Provider Name (Legal Business Name): SOLACE SERVICES LLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1734 MARYLAND AVE STE 140
BALTIMORE MD
21201-5804
US

IV. Provider business mailing address

1734 MARYLAND AVE STE 140
BALTIMORE MD
21201-5804
US

V. Phone/Fax

Practice location:
  • Phone: 410-709-6700
  • Fax:
Mailing address:
  • Phone: 410-709-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: SHERRON ROBERTS
Title or Position: MANAGING MEMBER
Credential:
Phone: 410-709-6700