Organization
360 SOUL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LOBBATO LCSW (OWNER)
(732) 673-8956
Entity
Organization
Contact information
Practice address
1052 BROADWAY, WEST LONG BRANCH, NJ 07764-1308
(732) 673-8956
Mailing address
1052 BROADWAY, WEST LONG BRANCH, NJ 07764-1308
(732) 673-8956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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