Organization
SOULS UNTETHERED, CHERYL LEVADNEY, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANN LEVADNEY LCSW (OWNER/THERAPIST)
(701) 833-8070
Entity
Organization
Contact information
Practice address
600 22ND AVE NW STE U2, MINOT, ND 58703-0986
(701) 833-8070
(701) 839-9071
Mailing address
600 22ND AVE NW STE U2, MINOT, ND 58703-0986
(701) 833-8070
(701) 839-9071
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19271
—
ND
Enumeration date
01/03/2020
Last updated
10/16/2020
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