| Soul Guided Healing Wellness Llc | |
|
2163 Sandy Beach Rd South Boston VA 24592-6623 | |
| (434) 222-7239 | |
| Not Available |
| Full Name | Soul Guided Healing Wellness Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2163 Sandy Beach Rd, South Boston, Virginia |
| Authorized Official Name and Position | Felicia Bowman (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 4342227239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Guided Healing Wellness Llc 2163 Sandy Beach Rd South Boston VA 24592-6623 Ph: (434) 222-7239 | Soul Guided Healing Wellness Llc 2163 Sandy Beach Rd South Boston VA 24592-6623 Ph: (434) 222-7239 |
| NPI Number | 1043802846 |
|---|---|
| Provider Enumeration Date | 02/03/2021 |
| Last Update Date | 02/03/2021 |
| Certification Date | 02/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043802846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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