| NPI | 1245112515 |
|---|---|
| Doing Business As | SOKA PSYCHIATRY & WELLNESS |
| Entity Type | Organization |
| Authorized Contact | JEREMIAH ROSS Pmhnp 512-460-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-09-10 |