| Souls Of Solace, Llc | |
|
6931 S 66th East Ave Tulsa OK 74133-1754 | |
| (918) 221-0705 | |
| Not Available |
| Full Name | Souls Of Solace, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 6931 S 66th East Ave, Tulsa, Oklahoma |
| Authorized Official Name and Position | David Cordle (LLC MEMBER/LICENSED THERAPIST) |
| Authorized Official Contact | 9188506503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Souls Of Solace, Llc 112 N Broadway St Cleveland OK 74020-3810 Ph: () - | Souls Of Solace, Llc 6931 S 66th East Ave Tulsa OK 74133-1754 Ph: (918) 221-0705 |
| NPI Number | 1649783846 |
|---|---|
| Provider Enumeration Date | 11/09/2017 |
| Last Update Date | 11/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649783846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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