| Soul Twinkle, Llc | |
|
913 Alfred St Scott LA 70583-5117 | |
| (225) 588-1946 | |
| (337) 504-2871 |
| Full Name | Soul Twinkle, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 913 Alfred St, Scott, Louisiana |
| Authorized Official Name and Position | Lynley Dornier (OWNER) |
| Authorized Official Contact | 3375881946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Twinkle, Llc 2082 Cloverdale Ave Baton Rouge LA 70808-2916 Ph: (225) 588-1946 | Soul Twinkle, Llc 913 Alfred St Scott LA 70583-5117 Ph: (225) 588-1946 |
| NPI Number | 1659998227 |
|---|---|
| Provider Enumeration Date | 06/30/2020 |
| Last Update Date | 06/30/2020 |
| Certification Date | 06/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659998227 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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