Provider Demographics
NPI:1942067558
Name:SOLIDARITY IN CRISIS LLC
Entity Type:Organization
Organization Name:SOLIDARITY IN CRISIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL ASSESSOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHAUNTAI
Authorized Official - Middle Name:C
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:757-752-6001
Mailing Address - Street 1:6223 CHESAPEAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23513-2005
Mailing Address - Country:US
Mailing Address - Phone:757-752-6001
Mailing Address - Fax:
Practice Address - Street 1:6223 CHESAPEAKE BLVD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23513-2005
Practice Address - Country:US
Practice Address - Phone:757-752-6001
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-29
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty