| Soulful Spaces Therapy Pllc | |
|
1400 Eberhart Ave Edwardsville IL 62025-1013 | |
| (217) 871-1089 | |
| Not Available |
| Full Name | Soulful Spaces Therapy Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1400 Eberhart Ave, Edwardsville, Illinois |
| Authorized Official Name and Position | Shyanna Kirby (OWNER) |
| Authorized Official Contact | 2178711089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulful Spaces Therapy Pllc 1400 Eberhart Ave Edwardsville IL 62025-1013 Ph: (217) 871-1089 | Soulful Spaces Therapy Pllc 1400 Eberhart Ave Edwardsville IL 62025-1013 Ph: (217) 871-1089 |
| NPI Number | 1255174447 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 07/12/2024 |
| Certification Date | 07/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255174447 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Kr Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 S State Route 157, Edwardsville, IL 62025 Phone: 314-246-9116 | |
Illinois Associates Psychiatry P C Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 103a South Pointe Drive, Edwardsville, IL 62025 Phone: 618-656-2000 Fax: 618-656-1169 | |
Residential Options, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 910 Esic Dr, Edwardsville, IL 62025 Phone: 618-692-1906 Fax: 618-692-9522 | |
Hope & Harmony Counseling Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 S State Route 157 Ste 18, Edwardsville, IL 62025 Phone: 618-342-8341 Fax: 618-744-2821 | |
Jeffrey S. Hammer, M.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 N Main St, Suite 2, Edwardsville, IL 62025 Phone: 618-656-1726 | |
Intensive Out-patient Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Club Centre Ct, Suite 1, Edwardsville, IL 62025 Phone: 618-656-7064 Fax: 618-656-9084 |