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Organization
SOULWELL CARE
Active
Organization
SOULWELL CARE
Active
Other names
Therapy with Porsche
Organization subpart
No
Provider details
NPI number
Authorized official
PORSCHE LOCKETT LMHC (CEO/FOUNDER)
(404) 693-2871
Entity
Organization
Contact information
Practice address
623 MAIN ST STE 21A, WOBURN, MA 01801-2999
(978) 781-0584
Mailing address
46 PARK ST APT 7, MALDEN, MA 02148-4058
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
84-2786326
NPI 1
MA
Enumeration date
08/08/2022
Last updated
08/08/2022
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