| Soul Tree Counseling & Wellness, Llc | |
|
1000 E La Rua St Pensacola FL 32501-4108 | |
| (850) 483-0334 | |
| Not Available |
| Full Name | Soul Tree Counseling & Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1000 E La Rua St, Pensacola, Florida |
| Authorized Official Name and Position | Eiyah Elizabeth Shepherd (OWNER / MANAGER) |
| Authorized Official Contact | 8504830334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Tree Counseling & Wellness, Llc 1000 E La Rua St Pensacola FL 32501-4108 Ph: (850) 483-0334 | Soul Tree Counseling & Wellness, Llc 1000 E La Rua St Pensacola FL 32501-4108 Ph: (850) 483-0334 |
| NPI Number | 1205355591 |
|---|---|
| Provider Enumeration Date | 09/18/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205355591 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11877 (Florida) | Primary |
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