| Souled Out Reach Ministry | |
|
2241b Beatties Ford Rd Charlotte NC 28216-4311 | |
| (704) 492-8899 | |
| Not Available |
| Full Name | Souled Out Reach Ministry |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2241b Beatties Ford Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Gloria Samantha Council (CEO) |
| Authorized Official Contact | 7044928899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Souled Out Reach Ministry 545 Moss Stream Ln Charlotte NC 28214-8846 Ph: (704) 492-8899 | Souled Out Reach Ministry 2241b Beatties Ford Rd Charlotte NC 28216-4311 Ph: (704) 492-8899 |
| NPI Number | 1659082063 |
|---|---|
| Provider Enumeration Date | 12/06/2022 |
| Last Update Date | 12/06/2022 |
| Certification Date | 12/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659082063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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