| Soul Beautiful Counseling And Consulting | |
| 
					398 Union St Bedford OH 44146-4569  | |
| (216) 256-4697 | |
| Not Available | 
| Full Name | Soul Beautiful Counseling And Consulting | 
|---|---|
| Speciality | Counselor | 
| Location | 398 Union St, Bedford, Ohio | 
| Authorized Official Name and Position | Dorothea Genae Hardrick (THERAPIST/OWNER) | 
| Authorized Official Contact | 2162564697 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Soul Beautiful Counseling And Consulting 398 Union Street Bedford OH 44146-4569 Ph: (216) 256-4697  | Soul Beautiful Counseling And Consulting 398 Union St Bedford OH 44146-4569 Ph: (216) 256-4697  | 
| NPI Number | 1134850753 | 
|---|---|
| Provider Enumeration Date | 06/23/2022 | 
| Last Update Date | 11/05/2024 | 
| Certification Date | 11/05/2024 | 
| Medicare PECOS PAC ID | 2365979390 | 
|---|---|
| Medicare Enrollment ID | O20250102001845 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1134850753 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary | 
| Provider Name | Dorothea G Hardrick | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1558762021 PECOS PAC ID: 8527595552 Enrollment ID: I20250102002048  | 
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