| Social Soul Therapy Pllc | |
|
3000 S Hulen St Ste 124-656 Fort Worth TX 76109-1929 | |
| (682) 200-3015 | |
| Not Available |
| Full Name | Social Soul Therapy Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3000 S Hulen St Ste 124-656, Fort Worth, Texas |
| Authorized Official Name and Position | Chioma Moronu (OWNER) |
| Authorized Official Contact | 6822003015 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Social Soul Therapy Pllc 3000 S Hulen St Ste 124-656 Fort Worth TX 76109-1929 Ph: () - | Social Soul Therapy Pllc 3000 S Hulen St Ste 124-656 Fort Worth TX 76109-1929 Ph: (682) 200-3015 |
| NPI Number | 1114691789 |
|---|---|
| Provider Enumeration Date | 08/05/2021 |
| Last Update Date | 08/06/2021 |
| Certification Date | 08/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114691789 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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