| Soul Spark Counseling & Consult, Llc | |
|
2112 Bienville Blvd Ste M1 Ocean Springs MS 39564-3027 | |
| (601) 385-5638 | |
| (228) 366-9056 |
| Full Name | Soul Spark Counseling & Consult, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2112 Bienville Blvd Ste M1, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Mary Dodson (MANAGER) |
| Authorized Official Contact | 9857744076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Spark Counseling & Consult, Llc 14205 S Country Hills Dr Gulfport MS 39503-2518 Ph: (985) 774-4076 | Soul Spark Counseling & Consult, Llc 2112 Bienville Blvd Ste M1 Ocean Springs MS 39564-3027 Ph: (601) 385-5638 |
| NPI Number | 1205541000 |
|---|---|
| Provider Enumeration Date | 01/17/2023 |
| Last Update Date | 07/18/2024 |
| Certification Date | 07/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205541000 | NPI | - | NPPES |
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