Provider Demographics
NPI:1710696117
Name:SOLSTICE MENTAL HEALTH TREATMENT
Entity Type:Organization
Organization Name:SOLSTICE MENTAL HEALTH TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BREEANN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMP
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:801-699-8522
Mailing Address - Street 1:7030 SWEET CREEK RD
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-7829
Mailing Address - Country:US
Mailing Address - Phone:801-699-8522
Mailing Address - Fax:
Practice Address - Street 1:7030 SWEET CREEK RD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-7829
Practice Address - Country:US
Practice Address - Phone:801-699-8522
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty