| A S.o.u.l Trained | |
|
10540 Arthur Davis Rd Huntersville NC 28078-9740 | |
| (269) 779-6917 | |
| Not Available |
| Full Name | A S.o.u.l Trained |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10540 Arthur Davis Rd, Huntersville, North Carolina |
| Authorized Official Name and Position | Kenya L May (DIRECTOR) |
| Authorized Official Contact | 2697796917 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A S.o.u.l Trained 10540 Arthur Davis Rd Huntersville NC 28078-9740 Ph: (269) 779-6917 | A S.o.u.l Trained 10540 Arthur Davis Rd Huntersville NC 28078-9740 Ph: (269) 779-6917 |
| NPI Number | 1063221976 |
|---|---|
| Provider Enumeration Date | 01/06/2025 |
| Last Update Date | 01/06/2025 |
| Certification Date | 01/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063221976 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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