Healthcare Provider Details

I. General information

NPI: 1003749706
Provider Name (Legal Business Name): SOLIDA BEHAVIORAL HEALTH, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4030 WAKE FOREST RD STE 349
RALEIGH NC
27609-0010
US

IV. Provider business mailing address

PO BOX 199
PAW CREEK NC
28130-0199
US

V. Phone/Fax

Practice location:
  • Phone: 704-326-2170
  • Fax: 704-703-6813
Mailing address:
  • Phone: 704-326-2170
  • Fax: 704-703-6813

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. ZACH WOOD
Title or Position: PHYSICIAN ASSISTANT/PROVIDER
Credential: PA-C
Phone: 704-326-2170