| Soul Meets Body Treatment Center, Llc | |
|
11 Carlisle St Ste 304 Hanover PA 17331-2472 | |
| (717) 819-9818 | |
| Not Available |
| Full Name | Soul Meets Body Treatment Center, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11 Carlisle St Ste 304, Hanover, Pennsylvania |
| Authorized Official Name and Position | Kirsten April Johnson (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 7173536274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Meets Body Treatment Center, Llc 5218 Rockery Rd Spring Grove PA 17362-8039 Ph: (717) 353-6274 | Soul Meets Body Treatment Center, Llc 11 Carlisle St Ste 304 Hanover PA 17331-2472 Ph: (717) 819-9818 |
| NPI Number | 1710655527 |
|---|---|
| Provider Enumeration Date | 09/06/2021 |
| Last Update Date | 06/17/2022 |
| Certification Date | 06/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710655527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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