MEDICARE: SOLABE FAMILY HEALTH CARE

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1912764192
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOLABE FAMILY HEALTH CARE

Provider Business Mailing Address
First Line	:	3132 CASTLELEIGH RD
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-1713
Country	:	US
Telephone Number	:	240-261-7099
Fax Number	:	706-673-8577

Provider Business Practice Location Address
First Line	:	11120 NEW HAMPSHIRE AVE
Second Line	:	SUITE 309
City	:	SILVER SPRING
State	:	MD
Zip	:	20904-2633
Country	:	US
Telephone Number	:	240-991-2197
Fax Number	:	706-673-8577

Authorized Official
Title or Position	:	PROVIDER
Name	:	MESAY GEBRESILASSIE
Credential	:
Telephone Number	:	240-261-7099

Provider Enumeration Date	:	03/04/2024
Last Update Date	:	05/27/2026

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