| Soulspace Wellness Center | |
|
1026 W 11 Mile Rd Royal Oak MI 48067-5401 | |
| (248) 397-5080 | |
| Not Available |
| Full Name | Soulspace Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1026 W 11 Mile Rd, Royal Oak, Michigan |
| Authorized Official Name and Position | Erica Carulli (OWNER / PSYCHOTHERAPIST) |
| Authorized Official Contact | 2483975080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soulspace Wellness Center 1923 Ardmore Ave Royal Oak MI 48073-4179 Ph: (248) 824-4085 | Soulspace Wellness Center 1026 W 11 Mile Rd Royal Oak MI 48067-5401 Ph: (248) 397-5080 |
| NPI Number | 1093348781 |
|---|---|
| Provider Enumeration Date | 02/20/2020 |
| Last Update Date | 02/20/2020 |
| Certification Date | 02/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093348781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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› Verified 3 days ago
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