| Soul2soul | |
|
14226 Ventura Blvd Sherman Oaks CA 91423-2715 | |
| (818) 355-5642 | |
| Not Available |
| Full Name | Soul2soul |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 14226 Ventura Blvd, Sherman Oaks, California |
| Authorized Official Name and Position | Jennifer Rosa (ADMIN) |
| Authorized Official Contact | 6266075964 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul2soul 14226 Ventura Blvd Sherman Oaks CA 91423-2715 Ph: (818) 355-5642 | Soul2soul 14226 Ventura Blvd Sherman Oaks CA 91423-2715 Ph: (818) 355-5642 |
| NPI Number | 1528759032 |
|---|---|
| Provider Enumeration Date | 05/16/2023 |
| Last Update Date | 05/16/2023 |
| Certification Date | 05/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528759032 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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