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General NPI Number Information
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NPI Number | 1275496325
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Entity Type | Organization
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Legal Business Name | SOLARA PSYCHIATRY & WELLNESS LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 80 JESSE HILL JUNIOR DR
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City | ATLANTA
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State | GA
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Zip | 30303
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 113 S PERRY ST STE 206
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-4811
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | IRENE OKOGIE
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Credential | DNP, PMHNP
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Telephone | --
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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