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Organization
SOUL THERAPY LLC
Active
Organization
SOUL THERAPY LLC
Active
Other names
Soul Therapy LLC
Organization subpart
No
Provider details
NPI number
Authorized official
LA'KISHA JORDAN LPC (LICENSED PROFESSIONAL COUNSELOR)
(757) 214-2372
Entity
Organization
Contact information
Practice address
13195 WARWICK BLVD STE 2E, NEWPORT NEWS, VA 23602-8313
(757) 214-2372
Mailing address
PO BOX 2214, NEWPORT NEWS, VA 23609-0214
(757) 214-2372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/11/2024
Last updated
01/11/2024
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