INNERSOUL COLLECTIVE LLC

CHAMPAIGN, IL
NPI1003623869
Entity TypeOrganization
Authorized ContactCASHONNA BERGER
Credentialing Specialist
217-799-1809
Organization Subpart ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2024-12-16
Last Update Date2025-01-13
Business Address
INNERSOUL COLLECTIVE LLC
2604 HUNTERS POND RUN APT 32
CHAMPAIGN, IL 61820-2664
Phone number: 773-234-6869
Mailing Address
INNERSOUL COLLECTIVE LLC
2005 N PROSPECT AVE # 1079
CHAMPAIGN, IL 61822-1235
Phone number: