Organization
SOUL & SPIRIT RESTORATIVE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JELINDA STOKES PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
(803) 942-4794
Entity
Organization
Contact information
Practice address
1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
(803) 042-4794
Mailing address
157 MOSS CREEK DR, MARTINEZ, GA 30907-4519
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/23/2022
Last updated
12/23/2022
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