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Soul Soil Healing Llc
Multi-Specialty Clinic/Center in Oakland, Maryland
NPI 1356056782

Soul Soil Healing Llc is a Multi-Specialty Clinic/Center based in Chicago, MD and is specialized in Multi-Specialty. Soul Soil Healing Llc practices in Oakland, MD. The NPI Number for Soul Soil Healing Llc is 1356056782 and holds a License No. (Maryland).

The current practice location address for Soul Soil Healing Llc is 5000 Thayer Ctr Ste C, Oakland, MD and can be reached out via phone at 218-280-2750.

Location: 5000 Thayer Ctr Ste C, Oakland, MD, 60615-5480
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356056782
Provider Name
Soul Soil Healing Llc
Credential
Provider Entity Type
Organization
Address
5000 Thayer Ctr Ste C, Oakland, MD, 60615-5480
Phone Number
218-280-2750
Fax Number
Provider Enumeration Date
01/19/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
5000 Thayer Ctr Ste C
City
Oakland
State
Maryland
Zip
21550-1139
Phone Number
218-280-2750
Fax Number
person
Provider Business Mailing Address Details
Address
5000 Thayer Ctr Ste C
City
Oakland
State
Maryland
Zip
21550-1139
Phone Number
218-280-2750
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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