Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
SELF-SOULSTICE, LLC
Active
Organization
SELF-SOULSTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. D DIONNE BATES PHD (OWNER)
(912) 755-7069
Entity
Organization
Contact information
Practice address
114 N COLLEGE ST, STATESBORO, GA 30458-5309
(912) 755-7069
(912) 480-9733
Mailing address
111 HAWTHORNE RD, STATESBORO, GA 30458-6003
(912) 755-7069
(912) 480-9733
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005007
GA
Other
Enumeration date
11/12/2014
Last updated
11/12/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up