Organization
WELL WITH MY SOUL HOLISTIC HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOONITI JEANETTE WEEMS DN, LCSW, LMT (OWNER)
(773) 978-6145
Entity
Organization
Contact information
Practice address
9500 S DORCHESTER AVE # 100, CHICAGO, IL 60628-1700
(773) 978-6145
(773) 913-1792
Mailing address
8149 S BLACKSTONE AVE, CHICAGO, IL 60619-4616
(773) 978-6145
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171400000X
Health & Wellness Coach
—
—
172P00000X
Naprapath
Primary
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
11/21/2014
Last updated
09/03/2024
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