# SOUL JOURNEY THERAPY

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

## Provider details

- **NPI number:** 1346645223
- **Authorized official:** SUPRIYA SHANTI LICSW (FOUNDER, THERAPIST)
- **Authorized official phone:** (802) 451-6598

## Contact information

- **Practice address:** 167 MAIN ST, SUITE 207E, BRATTLEBORO, VT 05301-7128
- **Practice address phone:** (802) 451-6598
- **Mailing address:** 167 MAIN ST, BOX 17, BRATTLEBORO, VT 05301-7128
- **Mailing address phone:** (802) 451-6598

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 089.009440 | VT | Yes |
| 251S00000X | Community/Behavioral Health Agency | 089.009440 | VT | — |

## Other

- **Enumeration date:** 11/04/2014
- **Last updated:** 08/31/2016