Organization
SOUL BLOOM COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALENCIA RASHAUN BEARD (MENTAL HEALTH THERAPIST)
(470) 648-0811
Entity
Organization
Contact information
Practice address
1100 INDIAN TRAIL LILBURN RD APT 821, NORCROSS, GA 30093-4573
(470) 648-0811
Mailing address
1100 INDIAN TRAIL LILBURN RD APT 821, NORCROSS, GA 30093-4573
(470) 648-0811
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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