| NPI | 1982246286 |
|---|---|
| Doing Business As | SOUL GROWTH PSYCHOLOGICAL SERVICES, PLLC |
| Entity Type | Organization |
| Authorized Contact | ELIZABETH J TUPLING President 248-840-5933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2024-03-14 |