| Soul Expressions The Counseling And Wellness Cafe Pllc | |
|
4028 Lemuel Farm Rd Fayetteville NC 28312-9274 | |
| (910) 379-0582 | |
| (910) 745-8035 |
| Full Name | Soul Expressions The Counseling And Wellness Cafe Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4028 Lemuel Farm Rd, Fayetteville, North Carolina |
| Authorized Official Name and Position | Tonia Marie Locklear (OWNER) |
| Authorized Official Contact | 9103790582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Expressions The Counseling And Wellness Cafe Pllc 4028 Lemuel Farm Rd Fayetteville NC 28312-9274 Ph: (910) 379-0582 | Soul Expressions The Counseling And Wellness Cafe Pllc 4028 Lemuel Farm Rd Fayetteville NC 28312-9274 Ph: (910) 379-0582 |
| NPI Number | 1194477604 |
|---|---|
| Provider Enumeration Date | 01/25/2022 |
| Last Update Date | 01/25/2022 |
| Certification Date | 01/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194477604 | NPI | - | NPPES |
| 1437704467 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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