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Organization

SOULSPARK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANIA DAVIS (OWNER)
(480) 518-5321
Entity
Organization

Contact information

Practice address
9835 E BELL RD STE 140, SCOTTSDALE, AZ 85260-2355
(602) 429-9244
(602) 609-4955
Mailing address
2036 N GILBERT RD STE 2106, MESA, AZ 85203-2139
(602) 429-9129

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
08/06/2020
Last updated
03/11/2024
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