| Soul & Spirit Restorative Care Llc | |
|
1415 Blanding St Ste 4 Columbia SC 29201-2922 | |
| (803) 042-4794 | |
| Not Available |
| Full Name | Soul & Spirit Restorative Care Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1415 Blanding St Ste 4, Columbia, South Carolina |
| Authorized Official Name and Position | Jelinda Stokes (PSYCHIATRIC NURSE PRACTITIONER) |
| Authorized Official Contact | 8039424794 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul & Spirit Restorative Care Llc 157 Moss Creek Dr Martinez GA 30907-4519 Ph: () - | Soul & Spirit Restorative Care Llc 1415 Blanding St Ste 4 Columbia SC 29201-2922 Ph: (803) 042-4794 |
| NPI Number | 1205548021 |
|---|---|
| Provider Enumeration Date | 12/23/2022 |
| Last Update Date | 12/23/2022 |
| Certification Date | 12/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205548021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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