# SOUL HEALING SPACES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952013732
- **Authorized official:** JENNA SADAN LPC (CO-OWNER)
- **Authorized official phone:** (240) 906-1418

## Contact information

- **Practice address:** 708 KENBROOK DR, SILVER SPRING, MD 20902-3225
- **Practice address phone:** (240) 906-1418
- **Mailing address:** 708 KENBROOK DR, SILVER SPRING, MD 20902-3225
- **Mailing address phone:** (240) 906-1418

## Taxonomy

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

## Other

- **Enumeration date:** 12/23/2022
- **Last updated:** 12/23/2022