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The Integrated Soul, Llc
Adult Mental Health Clinic/Center in Springfield, Illinois
NPI 1356029045

The Integrated Soul, Llc is an Adult Mental Health Clinic/Center based in Springfield, IL and is specialized in Adult Mental Health. The Integrated Soul, Llc practices in Springfield, IL. The NPI Number for The Integrated Soul, Llc is 1356029045 and holds a License No. (Illinois).

The current practice location address for The Integrated Soul, Llc is 2501 Chatham Rd Ste 4520, Springfield, IL and can be reached out via phone at 773-808-6033. You can also correspond with The Integrated Soul, Llc through the mailing address at 2501 CHATHAM RD STE 4520, SPRINGFIELD, IL - 62704-4188 (mailing address contact number: 773-808-6033).

Location: 2501 Chatham Rd Ste 4520, Springfield, IL, 62704-4188
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356029045
Provider Name
The Integrated Soul, Llc
Credential
Provider Entity Type
Organization
Address
2501 Chatham Rd Ste 4520, Springfield, IL, 62704-4188
Phone Number
773-808-6033
Fax Number
Provider Enumeration Date
07/11/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2501 Chatham Rd Ste 4520
City
Springfield
State
Illinois
Zip
62704-4188
Phone Number
773-808-6033
Fax Number
person
Provider Business Mailing Address Details
Address
2501 Chatham Rd Ste 4520
City
Springfield
State
Illinois
Zip
62704-4188
Phone Number
773-808-6033
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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