Healthcare Provider Details

I. General information

NPI: 1972424976
Provider Name (Legal Business Name): SOLARA HEALTH & WELLNESS CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 S TELSHOR BLVD # E201
LAS CRUCES NM
88011-4688
US

IV. Provider business mailing address

755 S TELSHOR BLVD # E201
LAS CRUCES NM
88011-4688
US

V. Phone/Fax

Practice location:
  • Phone: 701-800-1332
  • Fax:
Mailing address:
  • Phone: 701-800-1332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS ONYEAKAZI
Title or Position: MANAGING MEMBER
Credential: NP
Phone: 701-800-1332