Enlightened Souls, Pllc | |
501 Murphy Rd Stafford TX 77477-5417 | |
(713) 539-5727 | |
Not Available |
Full Name | Enlightened Souls, Pllc |
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Speciality | Counselor - Professional |
Location | 501 Murphy Rd, Stafford, Texas |
Authorized Official Name and Position | Jasmine Dominique Blue (CEO) |
Authorized Official Contact | 7135395727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Enlightened Souls, Pllc 15818 Whiteglade Ln Houston TX 77084-6800 Ph: (713) 539-5727 | Enlightened Souls, Pllc 501 Murphy Rd Stafford TX 77477-5417 Ph: (713) 539-5727 |
NPI Number | 1063802908 |
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Provider Enumeration Date | 01/30/2015 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1063802908 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 68068 (Texas) | Primary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
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