# OMNIPOTENT YOUTH SOCIETY L.L.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Good Soup Counseling
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679345904
- **Authorized official:** JINGMING N/A WANG MA, LPCC (OWNER)
- **Authorized official phone:** (612) 559-2160

## Contact information

- **Practice address:** 426 IRENE CT, ROSEVILLE, MN 55113-3520
- **Practice address phone:** (612) 559-2160
- **Mailing address:** 426 IRENE CT, ROSEVILLE, MN 55113-3520
- **Mailing address phone:** (612) 559-2160

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/30/2023
- **Last updated:** 10/30/2023
