| Soulwater Pllc | |
|
33131 S Shore Dr Mount Vernon WA 98274-8204 | |
| (206) 651-5054 | |
| Not Available |
| Full Name | Soulwater Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 33131 S Shore Dr, Mount Vernon, Washington |
| Authorized Official Name and Position | Alexis Kimball (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 2066515054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulwater Pllc 2715 E Union St Seattle WA 98122-3163 Ph: () - | Soulwater Pllc 33131 S Shore Dr Mount Vernon WA 98274-8204 Ph: (206) 651-5054 |
| NPI Number | 1295625192 |
|---|---|
| Provider Enumeration Date | 07/03/2025 |
| Last Update Date | 07/03/2025 |
| Certification Date | 07/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295625192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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