| Soulace Group Llc | |
|
1230 Timbercliff Dr Mansfield OH 44907-2930 | |
| () - | |
| Not Available |
| Full Name | Soulace Group Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1230 Timbercliff Dr, 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 1230 Timbercliff Dr Mansfield OH 44907-2930 Ph: (419) 571-1332 | Soulace Group Llc 1230 Timbercliff Dr Mansfield OH 44907-2930 Ph: () - |
| NPI Number | 1548891989 |
|---|---|
| Provider Enumeration Date | 02/03/2020 |
| Last Update Date | 12/09/2024 |
| Certification Date | 12/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548891989 | NPI | - | NPPES |
| 0290637 | Medicaid | OH |
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