SOULSTICE THERAPEUTIC SOLUTIONS LLC NPI 1821545815

NPI Information

NPI: 1821545815
Provider Name: SOULSTICE THERAPEUTIC SOLUTIONS, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
901 W MAIN ST STE 121
WAUCHULA, FL
ZIP 33873
Phone: (863) 773-6573
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SOULSTICE THERAPEUTIC SOLUTIONS, LLC is a mental health (including community mental health center) clinic center in Wauchula, FL. SOULSTICE THERAPEUTIC SOLUTIONS, LLC NPI is 1821545815. The provider is registered as an organization entity type.

The provider's business location address is:

901 W MAIN ST STE 121
WAUCHULA, FL
ZIP 33873-532
Phone: (863) 773-6573

The provider's authorized official is Micah S. Hendrickson .
The authorized official title is Owner and has the following contact phone number (863) 773-6573.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	MH13683	FLORIDA	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: 4/28/2024

NPI Synchronization or Removal

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