| Heart And Soul Counseling Pllc | |
|
10a Chisholm Trl Round Rock TX 78681 | |
| (929) 352-7529 | |
| (737) 443-6081 |
| Full Name | Heart And Soul Counseling Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 10a Chisholm Trl, Round Rock, Texas |
| Authorized Official Name and Position | Kim Sullivan (SOLE OWNER) |
| Authorized Official Contact | 9293527529 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart And Soul Counseling Pllc 10a Chisholm Trl Round Rock TX 78681-5043 Ph: (929) 352-7529 | Heart And Soul Counseling Pllc 10a Chisholm Trl Round Rock TX 78681 Ph: (929) 352-7529 |
| NPI Number | 1679083570 |
|---|---|
| Provider Enumeration Date | 10/05/2017 |
| Last Update Date | 09/24/2024 |
| Certification Date | 09/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679083570 | NPI | - | NPPES |
| 01-3803413 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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