| Soulshine Counseling Llc | |
|
11004 Rock Ridge Rd Oklahoma City OK 73120-5217 | |
| (405) 446-8602 | |
| (405) 212-1169 |
| Full Name | Soulshine Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 11004 Rock Ridge Rd, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Racheal Dianne Singley (OWNER) |
| Authorized Official Contact | 4054468602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulshine Counseling Llc 11004 Rock Ridge Rd Oklahoma City OK 73120-5217 Ph: (405) 446-8602 | Soulshine Counseling Llc 11004 Rock Ridge Rd Oklahoma City OK 73120-5217 Ph: (405) 446-8602 |
| NPI Number | 1194595454 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/06/2024 |
| Medicare PECOS PAC ID | 1052758273 |
|---|---|
| Medicare Enrollment ID | O20240325000334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194595454 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Racheal D Singley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336774835 PECOS PAC ID: 2961849187 Enrollment ID: I20240325000370 |
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