| Soulfulhealing, Llc | |
|
752 Gail Dr Ashland KY 41102-9240 | |
| (606) 922-8641 | |
| Not Available |
| Full Name | Soulfulhealing, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 752 Gail Dr, Ashland, Kentucky |
| Authorized Official Name and Position | Robin Deere (CREDENTIALING) |
| Authorized Official Contact | 6063712369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulfulhealing, Llc 752 Gail Dr Ashland KY 41102-9240 Ph: () - | Soulfulhealing, Llc 752 Gail Dr Ashland KY 41102-9240 Ph: (606) 922-8641 |
| NPI Number | 1629771910 |
|---|---|
| Provider Enumeration Date | 03/24/2023 |
| Last Update Date | 03/24/2023 |
| Certification Date | 03/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629771910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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