Organization
SOUL PURPOSE WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA ADAMS LCSW (OWNER AND THERAPIST)
(501) 213-1330
Entity
Organization
Contact information
Practice address
1318 STONE ST, JONESBORO, AR 72401-4522
(501) 213-1330
(501) 421-2135
Mailing address
1318 STONE ST, JONESBORO, AR 72401-4522
(501) 213-1330
(501) 421-2135
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277740719
—
AR
05
—
290450744
—
AR
Enumeration date
09/19/2022
Last updated
03/13/2024
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