Healthcare Provider Details

I. General information

NPI: 1659296309
Provider Name (Legal Business Name): SOLACE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3713 RUCKER AVE
EVERETT WA
98201-4632
US

IV. Provider business mailing address

4426 RIVERFRONT BLVD
EVERETT WA
98203-6997
US

V. Phone/Fax

Practice location:
  • Phone: 509-781-4127
  • Fax:
Mailing address:
  • Phone: 509-781-4127
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: THI TRAN
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: ARNP
Phone: 509-781-4127