| Soul's Retreat, Pllc | |
|
232 Phelps Ave Littlefield TX 79339-3428 | |
| (615) 812-3473 | |
| Not Available |
| Full Name | Soul's Retreat, Pllc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 232 Phelps Ave, Littlefield, Texas |
| Authorized Official Name and Position | Laura Ann Locke (PRESIDENT) |
| Authorized Official Contact | 6158123473 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul's Retreat, Pllc Po Box 644 Littlefield TX 79339-0644 Ph: (615) 812-3473 | Soul's Retreat, Pllc 232 Phelps Ave Littlefield TX 79339-3428 Ph: (615) 812-3473 |
| NPI Number | 1437762762 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Certification Date | 08/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437762762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |