Provider Demographics
NPI:1447399316
Name:SOLUTIONS OF LIFE, LLC
Entity Type:Organization
Organization Name:SOLUTIONS OF LIFE, LLC
Other - Org Name:NIKIYA SPENCE, LCSW, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NIKIYA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:770-638-7145
Mailing Address - Street 1:2175 SORRENTO CT
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-9900
Mailing Address - Country:US
Mailing Address - Phone:707-638-7145
Mailing Address - Fax:404-287-2964
Practice Address - Street 1:1400 BUFORD HWY STE C1
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-8722
Practice Address - Country:US
Practice Address - Phone:770-638-7145
Practice Address - Fax:404-287-2964
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOLUTIONS OF LIFE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-02-06
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA33821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAQ52129Medicare UPIN
GA80BBGCFMedicare PIN