Provider Demographics
NPI:1376243741
Name:SOLACE COUNSELING, LLC
Entity Type:Organization
Organization Name:SOLACE COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NISONGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, NCC
Authorized Official - Phone:907-302-5766
Mailing Address - Street 1:PO BOX 771916
Mailing Address - Street 2:
Mailing Address - City:EAGLE RIVER
Mailing Address - State:AK
Mailing Address - Zip Code:99577-1916
Mailing Address - Country:US
Mailing Address - Phone:907-302-5766
Mailing Address - Fax:
Practice Address - Street 1:13917 AKERS CIR
Practice Address - Street 2:
Practice Address - City:EAGLE RIVER
Practice Address - State:AK
Practice Address - Zip Code:99577-6737
Practice Address - Country:US
Practice Address - Phone:907-302-5766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty