| NPI | 1417728023 |
|---|---|
| Doing Business As | SOUL THERAPY LLC |
| Entity Type | Organization |
| Authorized Contact | LA'KISHA JORDAN Licensed Professional Counselor 757-214-2372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |