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Organization
SOTERIA ENTERPRISES, PLLC
Active
Organization
SOTERIA ENTERPRISES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHILIP RAYMOND BARKER LMSW, ACSW, SSW (SOLE PROPRIETOR)
(517) 488-2077
Entity
Organization
Contact information
Practice address
2575 SPRING ARBOR RD STE 300, JACKSON, MI 49203-3652
(517) 788-8330
(517) 788-9768
Mailing address
2575 SPRING ARBOR RD STE 300, JACKSON, MI 49203-3652
(517) 788-8330
(517) 788-9768
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
6801059321
MI
252Y00000X
Early Intervention Provider Agency
6801059321
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MI8809
—
MI
Enumeration date
05/13/2015
Last updated
01/12/2024
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