| Soul Journey Therapy | |
|
167 Main St Suite 207e Brattleboro VT 05301-7128 | |
| (802) 451-6598 | |
| Not Available |
| Full Name | Soul Journey Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 167 Main St, Brattleboro, Vermont |
| Authorized Official Name and Position | Supriya Shanti (FOUNDER, THERAPIST) |
| Authorized Official Contact | 8024516598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Journey Therapy 167 Main St Box 17 Brattleboro VT 05301-7128 Ph: (802) 451-6598 | Soul Journey Therapy 167 Main St Suite 207e Brattleboro VT 05301-7128 Ph: (802) 451-6598 |
| NPI Number | 1346645223 |
|---|---|
| Provider Enumeration Date | 11/04/2014 |
| Last Update Date | 08/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346645223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.009440 (Vermont) | Primary |
| 251S00000X | Community/behavioral Health | 089.009440 (Vermont) | Secondary |
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