# SOARING SPIRIT ACUPUNCTURE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174060180
- **Authorized official:** KACHINA L SMITH L.AC. (OWNER/LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (612) 888-7721

## Contact information

- **Practice address:** 7750 MONTPELIER RD, LAUREL, MD 20723-6010
- **Practice address phone:** (612) 888-7721
- **Mailing address:** 3401 24TH AVE, TEMPLE HILLS, MD 20748-2841
- **Mailing address phone:** (301) 580-1411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | U02383 | MD | Yes |

## Other

- **Enumeration date:** 01/28/2017
- **Last updated:** 04/24/2017