Organization
SOCIAL SOUL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHIOMA MORONU LCSW (OWNER)
(682) 200-3015
Entity
Organization
Contact information
Practice address
3000 S HULEN ST STE 124-656, FORT WORTH, TX 76109-1929
(682) 200-3015
Mailing address
3000 S HULEN ST STE 124-656, FORT WORTH, TX 76109-1929
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/05/2021
Last updated
08/06/2021
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