| Soul Haven Wellness Llc | |
|
19 Morton St Watertown MA 02472-2248 | |
| (518) 366-8453 | |
| Not Available |
| Full Name | Soul Haven Wellness Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 19 Morton St, Watertown, Massachusetts |
| Authorized Official Name and Position | Juliana Lee Willey (OWNER/PROVIDER) |
| Authorized Official Contact | 5183668453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Haven Wellness Llc 19 Morton St Watertown MA 02472-2248 Ph: (518) 366-8453 | Soul Haven Wellness Llc 19 Morton St Watertown MA 02472-2248 Ph: (518) 366-8453 |
| NPI Number | 1114892239 |
|---|---|
| Provider Enumeration Date | 10/08/2025 |
| Last Update Date | 10/08/2025 |
| Certification Date | 10/08/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114892239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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