Organization
SOUL'S RETREAT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANN LOCKE LPC (PRESIDENT)
(615) 812-3473
Entity
Organization
Contact information
Practice address
232 PHELPS AVE, LITTLEFIELD, TX 79339-3428
(615) 812-3473
Mailing address
PO BOX 644, LITTLEFIELD, TX 79339-0644
(615) 812-3473
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/26/2020
Last updated
08/26/2020
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