| Soul & Ego Llc | |
|
98 Whitford Street Boston MA 02131 | |
| (617) 637-2574 | |
| Not Available |
| Full Name | Soul & Ego Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 98 Whitford Street, Boston, Massachusetts |
| Authorized Official Name and Position | Luisa Ibner (OWNER) |
| Authorized Official Contact | 6176372574 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul & Ego Llc 450 Providence Hwy # 1084 Dedham MA 02026-6815 Ph: () - | Soul & Ego Llc 98 Whitford Street Boston MA 02131 Ph: (617) 637-2574 |
| NPI Number | 1821865379 |
|---|---|
| Provider Enumeration Date | 12/05/2023 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821865379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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