| Soul Solutions Therapeutic Services, Llc | |
|
1702 Hudson Bridge Rd Stockbridge GA 30281-6387 | |
| (404) 635-8178 | |
| (470) 300-7877 |
| Full Name | Soul Solutions Therapeutic Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1702 Hudson Bridge Rd, Stockbridge, Georgia |
| Authorized Official Name and Position | Tiffany Maria Taylor (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4046358178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Solutions Therapeutic Services, Llc 1702 Hudson Bridge Rd Stockbridge GA 30281-6387 Ph: (404) 635-8178 | Soul Solutions Therapeutic Services, Llc 1702 Hudson Bridge Rd Stockbridge GA 30281-6387 Ph: (404) 635-8178 |
| NPI Number | 1124651195 |
|---|---|
| Provider Enumeration Date | 02/19/2020 |
| Last Update Date | 02/19/2020 |
| Certification Date | 02/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124651195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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