| Soul Therapy Inc | |
|
15 Beechnut Dr South Barrington IL 60010-9514 | |
| (773) 232-1815 | |
| Not Available |
| Full Name | Soul Therapy Inc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 15 Beechnut Dr, South Barrington, Illinois |
| Authorized Official Name and Position | Nishat Shams Ali (CEO) |
| Authorized Official Contact | 7732321815 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Therapy Inc 6510 N Lincoln Ave Lincolnwood IL 60712-3919 Ph: (773) 232-1815 | Soul Therapy Inc 15 Beechnut Dr South Barrington IL 60010-9514 Ph: (773) 232-1815 |
| NPI Number | 1841983988 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 06/02/2023 |
| Certification Date | 06/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841983988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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