| Soul Purpose, Llc | |
|
2013 N Green Acres Rd Ste C Fayetteville AR 72703-2600 | |
| (479) 477-2352 | |
| (888) 375-3830 |
| Full Name | Soul Purpose, Llc |
|---|---|
| Speciality | Counselor |
| Location | 2013 N Green Acres Rd Ste C, Fayetteville, Arkansas |
| Authorized Official Name and Position | Morgan Mcgowan (OWNER) |
| Authorized Official Contact | 4794772352 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Purpose, Llc Po Box 964 Fayetteville AR 72702-0964 Ph: (479) 477-2352 | Soul Purpose, Llc 2013 N Green Acres Rd Ste C Fayetteville AR 72703-2600 Ph: (479) 477-2352 |
| NPI Number | 1255046439 |
|---|---|
| Provider Enumeration Date | 01/23/2023 |
| Last Update Date | 04/14/2023 |
| Certification Date | 04/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255046439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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