Healthcare Provider Details

I. General information

NPI: 1396330833
Provider Name (Legal Business Name): SOLACE HEALTH PARTNERS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2021
Last Update Date: 11/24/2023
Certification Date: 11/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 PINCKNEY COLONY RD STE 300
BLUFFTON SC
29909-4148
US

IV. Provider business mailing address

15 HOSPITAL CTR STE 100F
HILTON HEAD SC
29926-2727
US

V. Phone/Fax

Practice location:
  • Phone: 843-683-4330
  • Fax:
Mailing address:
  • Phone: 843-683-4330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: REBECCA MULFORD
Title or Position: OWNER
Credential: LISW-CP
Phone: 843-683-4330