| Soulmine Llc | |
|
1121 N. 5th Street Suite 109 Kansas City KS 66101 | |
| (913) 303-9868 | |
| Not Available |
| Full Name | Soulmine Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1121 N. 5th Street, Kansas City, Kansas |
| Authorized Official Name and Position | Chandra Green (CEO / HEAD THERAPIST & FACILITATOR) |
| Authorized Official Contact | 9133039868 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulmine Llc 1121 N. 5th Street Suite 109 Kansas City KS 66101 Ph: (913) 303-9868 | Soulmine Llc 1121 N. 5th Street Suite 109 Kansas City KS 66101 Ph: (913) 303-9868 |
| NPI Number | 1558180372 |
|---|---|
| Provider Enumeration Date | 10/08/2024 |
| Last Update Date | 10/08/2024 |
| Certification Date | 10/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558180372 | NPI | - | NPPES |
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