Healthcare Provider Details

I. General information

NPI: 1598531402
Provider Name (Legal Business Name): SOBER SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2023
Last Update Date: 12/01/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

987 E ASH ST STE A02
PIQUA OH
45356-4133
US

IV. Provider business mailing address

2126 PRESTWICK DR
COLUMBUS OH
43232-3044
US

V. Phone/Fax

Practice location:
  • Phone: 347-304-4486
  • Fax:
Mailing address:
  • Phone: 347-304-4486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: KARL JEAN-BAPTISTE
Title or Position: PARTNER
Credential:
Phone: 347-304-4486