| Soul Talk Psychotherapy Llc | |
|
61 S Fullerton Ave Apt 22 Montclair NJ 07042-2645 | |
| (908) 936-9497 | |
| Not Available |
| Full Name | Soul Talk Psychotherapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 61 S Fullerton Ave Apt 22, Montclair, New Jersey |
| Authorized Official Name and Position | Samantha Davies (CEO) |
| Authorized Official Contact | 9083769497 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Talk Psychotherapy Llc 84 Forest Hill Pkwy Apt 2e Newark NJ 07104-4721 Ph: (908) 376-9497 | Soul Talk Psychotherapy Llc 61 S Fullerton Ave Apt 22 Montclair NJ 07042-2645 Ph: (908) 936-9497 |
| NPI Number | 1720741622 |
|---|---|
| Provider Enumeration Date | 10/18/2021 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720741622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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