| Soulistic Counseling & Therapeutic Services, Llc | |
|
267 John Knox Rd Ste 113 Tallahassee FL 32303-6628 | |
| (850) 212-3796 | |
| Not Available |
| Full Name | Soulistic Counseling & Therapeutic Services, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 267 John Knox Rd Ste 113, Tallahassee, Florida |
| Authorized Official Name and Position | Velma Penermon Stevens (OWNER/OPERATOR) |
| Authorized Official Contact | 8502123796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulistic Counseling & Therapeutic Services, Llc 267 John Knox Rd Ste 113 Tallahassee FL 32303-6628 Ph: (850) 212-3796 | Soulistic Counseling & Therapeutic Services, Llc 267 John Knox Rd Ste 113 Tallahassee FL 32303-6628 Ph: (850) 212-3796 |
| NPI Number | 1477234748 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477234748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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