Provider Demographics
NPI:1295104024
Name:SOLIANT HEALTH, INC
Entity type:Organization
Organization Name:SOLIANT HEALTH, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:R.PH
Authorized Official - Prefix:MS
Authorized Official - First Name:YOUNG
Authorized Official - Middle Name:JANIFER
Authorized Official - Last Name:JO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-890-8989
Mailing Address - Street 1:2105 WRIGHTS MILL CIR NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30324-2792
Mailing Address - Country:US
Mailing Address - Phone:678-230-0488
Mailing Address - Fax:404-728-8904
Practice Address - Street 1:2105 WRIGHTS MILL CIR NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30324-2792
Practice Address - Country:US
Practice Address - Phone:404-890-8989
Practice Address - Fax:404-728-8907
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-23
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH 20620251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health