| Soulution Wellness Inc. | |
|
63 Somerset Ave Mastic NY 11950-4214 | |
| (516) 983-1825 | |
| Not Available |
| Full Name | Soulution Wellness Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 63 Somerset Ave, Mastic, New York |
| Authorized Official Name and Position | Jason J Melia (CEO) |
| Authorized Official Contact | 5169831825 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulution Wellness Inc. 63 Somerset Ave Mastic NY 11950-4214 Ph: (516) 983-1825 | Soulution Wellness Inc. 63 Somerset Ave Mastic NY 11950-4214 Ph: (516) 983-1825 |
| NPI Number | 1285407957 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 11/03/2023 |
| Certification Date | 11/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285407957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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