| Soul-full Solutions Counseling Center, Llc | |
|
423 Grand Ave Merrill WI 54452-2220 | |
| (715) 805-6111 | |
| (715) 539-8000 |
| Full Name | Soul-full Solutions Counseling Center, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 423 Grand Ave, Merrill, Wisconsin |
| Authorized Official Name and Position | Linda J Haynes (OWNER) |
| Authorized Official Contact | 7158056111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul-full Solutions Counseling Center, Llc Po Box 395 423 Grand Ave Merrill WI 54452-0395 Ph: (715) 805-6111 | Soul-full Solutions Counseling Center, Llc 423 Grand Ave Merrill WI 54452-2220 Ph: (715) 805-6111 |
| NPI Number | 1508010653 |
|---|---|
| Provider Enumeration Date | 11/14/2008 |
| Last Update Date | 11/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508010653 | NPI | - | NPPES |
| 42253700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2450 (Wisconsin) | Primary |
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