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Organization

SOUL GROUND LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RIVER DOWDY LPC (CLINICAL DIRECTOR)
(314) 328-5678
Entity
Organization

Contact information

Practice address
950 FRENCH DR APT 4207, VALLEY PARK, MO 63088-1628
(314) 390-3256
Mailing address
950 FRENCH DR APT 4207, VALLEY PARK, MO 63088-1628
(314) 390-3256

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor

Other

Enumeration date
08/26/2025
Last updated
08/26/2025
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