Provider Demographics
NPI:1588391353
Name:SOL THERAPY LLC
Entity type:Organization
Organization Name:SOL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISW-S OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HENRY
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:740-252-0796
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:
Mailing Address - City:NEW CONCORD
Mailing Address - State:OH
Mailing Address - Zip Code:43762-0165
Mailing Address - Country:US
Mailing Address - Phone:740-586-0881
Mailing Address - Fax:740-870-2631
Practice Address - Street 1:601 UNDERWOOD ST STE 106
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-3771
Practice Address - Country:US
Practice Address - Phone:330-969-2104
Practice Address - Fax:740-870-2631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-02
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty