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Organization
SOULFUL LIVING COUNSELING LLC
Active
Organization
SOULFUL LIVING COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH JANE SHIELDS LIMHP (MENTAL HEALTH THERAPIST)
(402) 217-6880
Entity
Organization
Contact information
Practice address
15821 N 2ND ST, BENNINGTON, NE 68007-7424
(402) 217-6880
Mailing address
15821 N 2ND ST, BENNINGTON, NE 68007-7424
(402) 217-6880
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679246599
NPI
NE
Enumeration date
07/27/2021
Last updated
02/19/2025
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