| NPI | 1689471708 |
|---|---|
| Doing Business As | SOUL PRACTICE GROUP |
| Entity Type | Organization |
| Authorized Contact | KARLA GOMEZ Owner 800-621-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-02-26 |
| Last Update Date | 2025-02-26 |