NPI | 1790325652 |
---|---|
Former Legal Business Name | SOUL GATE COUNSELING, LLC |
Entity Type | Organization |
Authorized Contact | TAMARA PORTER-JOINER Licensed Professional Counselor 720-505-3540 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Enumeration Date | 2020-01-08 |
Last Update Date | 2020-03-13 |