Organization
SOUL JOURNEY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA THIENEMAN LISW (OWNER)
(502) 727-8272
Entity
Organization
Contact information
Practice address
504 LEVASSOR AVE, COVINGTON, KY 41014-1735
(502) 727-8272
Mailing address
504 LEVASSOR AVE, COVINGTON, KY 41014-1735
(502) 727-8272
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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