Healthcare Provider Details

I. General information

NPI: 1497685515
Provider Name (Legal Business Name): SOLACE MENTAL HEALTH COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 EXCHANGE ST
BERLIN NH
03570-1935
US

IV. Provider business mailing address

165 MAIN ST PO BOX #5
GORHAM NH
03581
US

V. Phone/Fax

Practice location:
  • Phone: 571-739-9630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: ALIDA NELSON
Title or Position: OWNER
Credential: LCMHC
Phone: 571-739-9630