Organization
CHRISTINA MANGOLD INC
Active
Other names
Soul and Soma
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINA N MANGOLD MANGOLD (OWNER)
(231) 729-1384
Entity
Organization
Contact information
Practice address
220 E DIVISION ST, SPARTA, MI 49345-1328
(231) 729-1384
Mailing address
1355 13 MILE RD NE, SPARTA, MI 49345-8363
(231) 729-1384
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
01/21/2026
Last updated
05/07/2026
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