| Soulsynergy | |
|
1017 S 36th St South Bend IN 46615-2020 | |
| (574) 344-3764 | |
| Not Available |
| Full Name | Soulsynergy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1017 S 36th St, South Bend, Indiana |
| Authorized Official Name and Position | Regina Rozenblit (OWNER) |
| Authorized Official Contact | 5743443764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulsynergy 1017 S 36th St South Bend IN 46615-2020 Ph: () - | Soulsynergy 1017 S 36th St South Bend IN 46615-2020 Ph: (574) 344-3764 |
| NPI Number | 1629836812 |
|---|---|
| Provider Enumeration Date | 03/12/2024 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629836812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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