| Souls Untethered, Cheryl Levadney, Lcsw, Pllc | |
|
600 22nd Ave Nw Ste U2 Minot ND 58703-0986 | |
| (701) 833-8070 | |
| (701) 839-9071 |
| Full Name | Souls Untethered, Cheryl Levadney, Lcsw, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 600 22nd Ave Nw Ste U2, Minot, North Dakota |
| Authorized Official Name and Position | Cheryl Ann Levadney (OWNER/THERAPIST) |
| Authorized Official Contact | 7018338070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Souls Untethered, Cheryl Levadney, Lcsw, Pllc 600 22nd Ave Nw Ste U2 Minot ND 58703-0986 Ph: (701) 833-8070 | Souls Untethered, Cheryl Levadney, Lcsw, Pllc 600 22nd Ave Nw Ste U2 Minot ND 58703-0986 Ph: (701) 833-8070 |
| NPI Number | 1194364455 |
|---|---|
| Provider Enumeration Date | 01/03/2020 |
| Last Update Date | 10/16/2020 |
| Certification Date | 10/16/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194364455 | NPI | - | NPPES |
| 19271 | Medicaid | ND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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