Provider Demographics
NPI:1265098321
Name:STRETCH, SOLOMON EUGENE (CAADC, CAMS, NBCC)
Entity type:Individual
Prefix:MR
First Name:SOLOMON
Middle Name:EUGENE
Last Name:STRETCH
Suffix:
Gender:M
Credentials:CAADC, CAMS, NBCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 PEACHTREE STREET NW
Mailing Address - Street 2:#216
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30303-2365
Mailing Address - Country:US
Mailing Address - Phone:404-454-4285
Mailing Address - Fax:
Practice Address - Street 1:50 PEACHTREE STREET NW
Practice Address - Street 2:#216
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30303-2365
Practice Address - Country:US
Practice Address - Phone:404-454-4285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-14
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional