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Organization
SOUL THERAPY, LLC
Active
Organization
SOUL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY NICOLE BOLELLA (MANAGER)
(860) 205-9434
Entity
Organization
Contact information
Practice address
836 FARMINGTON AVE, SUITE 221, WEST HARTFORD, CT 06119-1505
(860) 986-6865
Mailing address
836 FARMINGTON AVE, SUITE 221, WEST HARTFORD, CT 06119-1505
(860) 986-6865
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
8261
CT
Other
Enumeration date
12/10/2016
Last updated
12/10/2016
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