| Soul Restorations, Pllc | |
|
12360 Lake City Way Ne Ste 420 Seattle WA 98125-5452 | |
| (206) 317-1200 | |
| Not Available |
| Full Name | Soul Restorations, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12360 Lake City Way Ne Ste 420, Seattle, Washington |
| Authorized Official Name and Position | Lisa J Pierce (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 2063171200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Restorations, Pllc Po Box 25894 Seattle WA 98165 Ph: (206) 317-1200 | Soul Restorations, Pllc 12360 Lake City Way Ne Ste 420 Seattle WA 98125-5452 Ph: (206) 317-1200 |
| NPI Number | 1053964312 |
|---|---|
| Provider Enumeration Date | 07/16/2019 |
| Last Update Date | 07/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053964312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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