Soulwell Care | |
623 Main St Ste 21a Woburn MA 01801-2999 | |
(978) 781-0584 | |
Not Available |
Full Name | Soulwell Care |
---|---|
Speciality | Counselor - Mental Health |
Location | 623 Main St Ste 21a, Woburn, Massachusetts |
Authorized Official Name and Position | Porsche Lockett (CEO/FOUNDER) |
Authorized Official Contact | 4046932871 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soulwell Care 46 Park St Apt 7 Malden MA 02148-4058 Ph: () - | Soulwell Care 623 Main St Ste 21a Woburn MA 01801-2999 Ph: (978) 781-0584 |
NPI Number | 1316674450 |
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Provider Enumeration Date | 08/08/2022 |
Last Update Date | 08/08/2022 |
Certification Date | 06/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316674450 | NPI | - | NPPES |
84-2786326 | Other | MA | NPI 1 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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