Provider Demographics
NPI:1821680844
Name:SOLSTICE PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:SOLSTICE PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANMARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:REED
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, CCS
Authorized Official - Phone:207-331-7328
Mailing Address - Street 1:64 BEAVER DAM RD
Mailing Address - Street 2:
Mailing Address - City:NORTH WATERBORO
Mailing Address - State:ME
Mailing Address - Zip Code:04061-4645
Mailing Address - Country:US
Mailing Address - Phone:207-331-7328
Mailing Address - Fax:
Practice Address - Street 1:64 BEAVER DAM RD
Practice Address - Street 2:
Practice Address - City:NORTH WATERBORO
Practice Address - State:ME
Practice Address - Zip Code:04061-4645
Practice Address - Country:US
Practice Address - Phone:207-331-7328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-10
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty