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Organization

SOUL SOIL HEALING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KRISTOPHER T GEBHARD PHD (FOUNDER/CEO)
(218) 280-2750
Entity
Organization

Contact information

Practice address
3600 CLIPPER MILL RD STE 221, BALTIMORE, MD 21211-1946
(442) 320-2313
Mailing address
3600 CLIPPER MILL RD STE 221, BALTIMORE, MD 21211-1946
(442) 320-2313

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
01/19/2023
Last updated
03/25/2026
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