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NPI Code Detail

MEDICARE: SOLIDA BEHAVIORAL HEALTH, PLLC

MEDICARE: SOLIDA BEHAVIORAL HEALTH, PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1003749706
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLIDA BEHAVIORAL HEALTH, PLLC
Provider Business Mailing Address
First Line : PO BOX 199
Second Line :
City : PAW CREEK
State : NC
Zip : 28130-0199
Country : US
Telephone Number : 704-326-2170
Fax Number : 704-703-6813
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 704-326-2170
Fax Number : 704-703-6813
Authorized Official
Title or Position : PHYSICIAN ASSISTANT/PROVIDER
Name : MR. ZACH WOOD
Credential : PA-C
Telephone Number : 704-326-2170
Provider Enumeration Date : 06/04/2026
Last Update Date : 06/04/2026

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