| Soul Restoration Counseling Services Pllc | |
|
101 Scott Ct Knightdale NC 27545-9508 | |
| (919) 391-5128 | |
| Not Available |
| Full Name | Soul Restoration Counseling Services Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 101 Scott Ct, Knightdale, North Carolina |
| Authorized Official Name and Position | Shakeria Mcguire (OWNER) |
| Authorized Official Contact | 9193915128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Restoration Counseling Services Pllc Po Box 1397 Knightdale NC 27545-1397 Ph: () - | Soul Restoration Counseling Services Pllc 101 Scott Ct Knightdale NC 27545-9508 Ph: (919) 391-5128 |
| NPI Number | 1043843790 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043843790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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