Provider Demographics
NPI:1174260962
Name:SOLID GROUND PSYCHIATRY PLC
Entity Type:Organization
Organization Name:SOLID GROUND PSYCHIATRY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LASEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:802-448-0048
Mailing Address - Street 1:145 PINE HAVEN SHORES RD STE 1011
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7812
Mailing Address - Country:US
Mailing Address - Phone:802-448-0048
Mailing Address - Fax:802-209-8024
Practice Address - Street 1:145 PINE HAVEN SHORES RD STE 1011
Practice Address - Street 2:
Practice Address - City:SHELBURNE
Practice Address - State:VT
Practice Address - Zip Code:05482-7812
Practice Address - Country:US
Practice Address - Phone:802-488-0048
Practice Address - Fax:802-209-8024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-13
Last Update Date:2023-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health