Solomon Eugene Stretch, LPC, MAC, CAADC
Counselor, Professional in Atlanta, GA. Individual provider (NPI-1).
NPI number1265098321
StatusActive
Last updated in NPPESNov 14, 2025
Details
- NPI
- 1265098321
- Entity type
- Individual (NPI-1)
- Name
- Mr. Solomon Eugene Stretch
- Credential
- LPC, MAC, CAADC
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2019
- Certification date
- Nov 14, 2025
- Last updated
- Nov 14, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 016111 | GA | Yes |
Practice location
1100 Peachtree St Ne Ste 200Atlanta, GA 30309-4829
Phone 202-240-7579
Mailing address
214 Colonial Homes Dr NwAtlanta, GA 30309-1245
Phone 404-454-4285
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