OrganizationSolace Mental Healthcare, LlcNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9500 Annapolis Rd, Lanham, MD 20706-2060(240) 602-6005PECOS EnrollmentBased on the most recent information from CMS, provider Solace Mental Healthcare, Llc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1508564683Provider TypeOrganizationFull NameSolace Mental Healthcare, LlcSubpartNoEnumeration Date2/20/2023Last Updated2/20/2023Contact InformationPractice LocationPractice Address9500 Annapolis Rd, Lanham, MD 20706-2060Phone(240) 602-6005FaxUnlisted FaxMailing LocationMailing Address1314 Iron Oak Cv, Crofton, MD 21114-1868Phone(240) 602-6005FaxUnlisted FaxAuthorized OfficialNameAzuewah, Ugo (Provider)Phone(240) 602-6005Provider TaxonomiesCodeDescriptionLicenseCode363LP0808XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseUnlisted Issuer