Organization
SOUL SAVVY COUNSELING AND THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT DAVID ANDREWS-MENDOZA LADC (OWNER)
(612) 712-7785
Entity
Organization
Contact information
Practice address
11901 CENTRAL PARK WAY UNIT 2327, MAPLE GROVE, MN 55369-2664
(612) 701-3084
(612) 500-4671
Mailing address
11901 CENTRAL PARK WAY UNIT 2327, MAPLE GROVE, MN 55369-2664
(612) 701-3084
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
04/07/2021
Last updated
04/21/2021
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