Healthcare Provider Details

I. General information

NPI: 1144013988
Provider Name (Legal Business Name): SOLIS RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2025
Last Update Date: 05/24/2025
Certification Date: 05/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1047 FLORIDA AVE
LYNCHBURG VA
24504-4854
US

IV. Provider business mailing address

3730 CANDLERS MOUNTAIN RD # 1100
LYNCHBURG VA
24502-2240
US

V. Phone/Fax

Practice location:
  • Phone: 743-444-0938
  • Fax: 743-444-0938
Mailing address:
  • Phone: 743-444-0938
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANNE CREWS
Title or Position: OWNER
Credential: RPRS
Phone: 743-444-0938