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Organization
OMNIPOTENT YOUTH SOCIETY L.L.C.
Active
Organization
OMNIPOTENT YOUTH SOCIETY L.L.C.
Active
Other names
Good Soup Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JINGMING N/A WANG MA, LPCC (OWNER)
(612) 559-2160
Entity
Organization
Contact information
Practice address
426 IRENE CT, ROSEVILLE, MN 55113-3520
(612) 559-2160
Mailing address
426 IRENE CT, ROSEVILLE, MN 55113-3520
(612) 559-2160
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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