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SOCIAL SOUL THERAPY PLLC NPI 1114691789


NPI Information

NPI: 1114691789
Provider Name: SOCIAL SOUL THERAPY PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3000 S HULEN ST STE 124-656
FORT WORTH, TX
ZIP 76109
Phone: (682) 200-3015
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SOCIAL SOUL THERAPY PLLC is a mental health (including community mental health center) clinic center in Fort Worth, TX. SOCIAL SOUL THERAPY PLLC NPI is 1114691789. The provider is registered as an organization entity type.

The provider's business location address is:

3000 S HULEN ST STE 124-656
FORT WORTH, TX
ZIP 76109-929
Phone: (682) 200-3015

The provider's authorized official is Chioma Moronu .
The authorized official title is Owner and has the following contact phone number (682) 200-3015.

The enumeration date for this NPI number is 8/5/2021 and was last updated on 8/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.