| Soulstice Clinical Counseling & Professional Development | |
|
300 Garrisonville Rd Ste 302 Stafford VA 22554-8903 | |
| (540) 300-1196 | |
| Not Available |
| Full Name | Soulstice Clinical Counseling & Professional Development |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 Garrisonville Rd Ste 302, Stafford, Virginia |
| Authorized Official Name and Position | Phyllis Burgin (DIRECTOR) |
| Authorized Official Contact | 5403002096 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulstice Clinical Counseling & Professional Development 300 Garrisonville Rd Ste 302 Stafford VA 22554-8903 Ph: () - | Soulstice Clinical Counseling & Professional Development 300 Garrisonville Rd Ste 302 Stafford VA 22554-8903 Ph: (540) 300-1196 |
| NPI Number | 1235788779 |
|---|---|
| Provider Enumeration Date | 09/07/2019 |
| Last Update Date | 09/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235788779 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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