Soul Therapy Llc | |
13195 Warwick Blvd Ste 2e Newport News VA 23602-8313 | |
(757) 214-2372 | |
Not Available |
Full Name | Soul Therapy Llc |
---|---|
Speciality | Counselor - Professional |
Location | 13195 Warwick Blvd Ste 2e, Newport News, Virginia |
Authorized Official Name and Position | La'kisha Jordan (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 7572142372 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soul Therapy Llc Po Box 2214 Newport News VA 23609-0214 Ph: (757) 214-2372 | Soul Therapy Llc 13195 Warwick Blvd Ste 2e Newport News VA 23602-8313 Ph: (757) 214-2372 |
NPI Number | 1417728023 |
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Provider Enumeration Date | 01/11/2024 |
Last Update Date | 01/11/2024 |
Certification Date | 01/11/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417728023 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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