| Soul Bloom Counseling, Llc | |
|
1100 Indian Trail Lilburn Rd Apt 821 Norcross GA 30093-4573 | |
| (470) 648-0811 | |
| Not Available |
| Full Name | Soul Bloom Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1100 Indian Trail Lilburn Rd Apt 821, Norcross, Georgia |
| Authorized Official Name and Position | Valencia Rashaun Beard (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 4706480811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Bloom Counseling, Llc 1100 Indian Trail Lilburn Rd Apt 821 Norcross GA 30093-4573 Ph: (470) 648-0811 | Soul Bloom Counseling, Llc 1100 Indian Trail Lilburn Rd Apt 821 Norcross GA 30093-4573 Ph: (470) 648-0811 |
| NPI Number | 1174321541 |
|---|---|
| Provider Enumeration Date | 03/03/2025 |
| Last Update Date | 03/03/2025 |
| Certification Date | 03/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174321541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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