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Organization
PEACEFUL SOUL COUNSELING AND GROUP THERAPY
Active
Organization
PEACEFUL SOUL COUNSELING AND GROUP THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDACE GRAVES LCMHC (OWNER)
(440) 502-0890
Entity
Organization
Contact information
Practice address
1501 N CHARLOTTE AVE STE B-127, MONROE, NC 28110-2525
(440) 502-0890
Mailing address
5707 FALKIRK LN, MATTHEWS, NC 28104-0664
(440) 502-0890
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2019
Last updated
01/16/2024
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