| Soulshine Behavioral Health | |
|
119 Solomon James Ln London KY 40744-8192 | |
| (502) 230-7767 | |
| Not Available |
| Full Name | Soulshine Behavioral Health |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 119 Solomon James Ln, London, Kentucky |
| Authorized Official Name and Position | Eliza Diane Clontz (OWNER/THERAPIST) |
| Authorized Official Contact | 5022307767 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulshine Behavioral Health 119 Solomon James Ln London KY 40744-8192 Ph: (502) 230-7767 | Soulshine Behavioral Health 119 Solomon James Ln London KY 40744-8192 Ph: (502) 230-7767 |
| NPI Number | 1508719618 |
|---|---|
| Provider Enumeration Date | 02/18/2026 |
| Last Update Date | 02/18/2026 |
| Certification Date | 02/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508719618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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