# HEART AND SOUL FAMILY HEALTH & WELLNESS

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

## Provider details

- **NPI number:** 1316756943
- **Authorized official:** PATRICE BULLOCK NP (NP/OWNER)
- **Authorized official phone:** (443) 876-6692

## Contact information

- **Practice address:** 8508 LOCH RAVEN BLVD STE B, TOWSON, MD 21286-2354
- **Practice address phone:** (443) 876-6692
- **Mailing address:** 151 W RING FACTORY RD, BEL AIR, MD 21014-5303
- **Mailing address phone:** (443) 876-6692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/07/2025
- **Last updated:** 04/16/2026
