| Soul Health, Inc. | |
|
111 Union Mt. Washington Christiansted VI 00820 | |
| (340) 244-2018 | |
| Not Available |
| Full Name | Soul Health, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 111 Union Mt. Washington, Christiansted, Virgin Island |
| Authorized Official Name and Position | Chloe Farris (FOUNDER & PRESIDENT) |
| Authorized Official Contact | 3402442018 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Health, Inc. Po Box 224624 Christiansted VI 00822-4624 Ph: (340) 244-2018 | Soul Health, Inc. 111 Union Mt. Washington Christiansted VI 00820 Ph: (340) 244-2018 |
| NPI Number | 1932826179 |
|---|---|
| Provider Enumeration Date | 10/27/2022 |
| Last Update Date | 07/01/2023 |
| Certification Date | 07/01/2023 |
| Medicare PECOS PAC ID | 1254708126 |
|---|---|
| Medicare Enrollment ID | O20221105000052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932826179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chloe A Farris |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629657721 PECOS PAC ID: 8820465859 Enrollment ID: I20221107000945 |
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