| Soar Counseling & Consulting Llc | |
|
1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 | |
| (502) 509-7207 | |
| (502) 785-4003 |
| Full Name | Soar Counseling & Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1949 Goldsmith Ln Ste 103, Louisville, Kentucky |
| Authorized Official Name and Position | Latasha White (THERAPIST/OWNER) |
| Authorized Official Contact | 5028761445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soar Counseling & Consulting Llc 1604 Russell Lee Dr Louisville KY 40211-4304 Ph: (502) 876-1445 | Soar Counseling & Consulting Llc 1949 Goldsmith Ln Ste 103 Louisville KY 40218-3096 Ph: (502) 509-7207 |
| NPI Number | 1033761465 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 07/16/2019 |
| Medicare PECOS PAC ID | 6901136340 |
|---|---|
| Medicare Enrollment ID | O20190926002651 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033761465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Latasha White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568930188 PECOS PAC ID: 7517292659 Enrollment ID: I20190711003353 |
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