MEDICARE: SOLACE AND SAGE

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
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1275315657
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLACE AND SAGE

Provider Business Mailing Address
First Line	:	395 WATERS VIEW CT
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-2118
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	395 WATERS VIEW CT
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-2118
Country	:	US
Telephone Number	:	512-626-0974
Fax Number	:

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MICHELLE MCCARTY
Credential	:	COTA
Telephone Number	:	512-651-0341

Provider Enumeration Date	:	10/19/2023
Last Update Date	:	10/19/2023

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Directions to “SOLACE AND SAGE ” Practice Location

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