| Sol 2 Soul Healing Center Pllc | |
|
4111 Table Rock Rd Copperas Cove TX 76522-7133 | |
| (254) 307-2320 | |
| Not Available |
| Full Name | Sol 2 Soul Healing Center Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4111 Table Rock Rd, Copperas Cove, Texas |
| Authorized Official Name and Position | Erica Lugene Boucher (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 2543072320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sol 2 Soul Healing Center Pllc Po Box 690607 Killeen TX 76549-0011 Ph: () - | Sol 2 Soul Healing Center Pllc 4111 Table Rock Rd Copperas Cove TX 76522-7133 Ph: (254) 307-2320 |
| NPI Number | 1255144473 |
|---|---|
| Provider Enumeration Date | 01/30/2025 |
| Last Update Date | 01/30/2025 |
| Certification Date | 01/30/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255144473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Secondary |
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