Organization
SOULCIAL SANCTUARY,LLC
Active
Other names
Soulcial Sanctuary,LLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLETTE THOMAS MASTERS DEGREE (THERAPY/MEDIATION)
(407) 791-9693
Entity
Organization
Contact information
Practice address
2051 BEACON LANDING CIR, ORLANDO, FL 32824-4373
(407) 791-9693
Mailing address
2051 BEACON LANDING CIR, ORLANDO, FL 32824-4373
(407) 791-9693
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
02/25/2019
Last updated
03/04/2019
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