| Soulbird Integrative | |
|
1941 Hemlock Dr Mchenry IL 60050-2652 | |
| (773) 353-6259 | |
| (903) 265-4867 |
| Full Name | Soulbird Integrative |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1941 Hemlock Dr, Mchenry, Illinois |
| Authorized Official Name and Position | Jasmine Tudy (OWNER) |
| Authorized Official Contact | 7733536259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulbird Integrative 1941 Hemlock Dr Mchenry IL 60050-2652 Ph: (773) 353-6259 | Soulbird Integrative 1941 Hemlock Dr Mchenry IL 60050-2652 Ph: (773) 353-6259 |
| NPI Number | 1306642590 |
|---|---|
| Provider Enumeration Date | 02/20/2025 |
| Last Update Date | 02/20/2025 |
| Certification Date | 02/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306642590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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