Healthcare Provider Details

I. General information

NPI: 1336955848
Provider Name (Legal Business Name): SOLUTIONS THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3980 PREMIER DR STE 110
HIGH POINT NC
27265-8409
US

IV. Provider business mailing address

18 KNOLL BROOK CT
GREENSBORO NC
27407-6107
US

V. Phone/Fax

Practice location:
  • Phone: 336-396-6239
  • Fax: 336-900-1238
Mailing address:
  • Phone: 520-255-5265
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: JACLYN MICHELLE KELLER
Title or Position: OWNER
Credential: LCSW
Phone: 336-396-9239