# SOULCARE MEDICAL CONSULTANT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Soulcare Med & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821284209
- **Authorized official:** DR. PRINCESS R HUMPHREY MD (OWNER)
- **Authorized official phone:** (256) 772-1766

## Contact information

- **Practice address:** 235 PORTAL LN STE B, MADISON, AL 35758-5827
- **Practice address phone:** (256) 772-1766
- **Practice address fax:** (256) 772-1980
- **Mailing address:** 235 PORTAL LN STE B, MADISON, AL 35758-5827
- **Mailing address phone:** (256) 772-1766
- **Mailing address fax:** (256) 772-1980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 04/20/2008