| Soulace Group Llc | |
|
215 N Trimble Rd Mansfield OH 44906-2630 | |
| (419) 571-1332 | |
| (419) 520-8850 |
| Full Name | Soulace Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 215 N Trimble Rd, Mansfield, Ohio |
| Authorized Official Name and Position | Richard Joseph Hoffmann (OWNER/ THERAPIST) |
| Authorized Official Contact | 4195711332 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulace Group Llc 215 N Trimble Rd Mansfield OH 44906-2630 Ph: (419) 571-1332 | Soulace Group Llc 215 N Trimble Rd Mansfield OH 44906-2630 Ph: (419) 571-1332 |
| NPI Number | 1548891989 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 06/27/2022 |
| Certification Date | 06/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548891989 | NPI | - | NPPES |
| 0290637 | Medicaid | OH |
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