| NPI | 1881333946 |
|---|---|
| Doing Business As | THE SOUL'S APOTHECARY |
| Entity Type | Organization |
| Authorized Contact | JOSHUA TIMOTHY MEARS Owner 952-767-9376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-08-23 |