| NPI | 1972110724 |
|---|---|
| Doing Business As | SOUL WELLNESS NYC |
| Entity Type | Organization |
| Authorized Contact | SARA GLASS Provider/Director 516-405-0362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2021-09-20 |