Organization
BODY & SOUL COMMUNITY COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA ADAMS (OWNER)
(480) 293-4258
Entity
Organization
Contact information
Practice address
5060 N 19TH AVE STE 218, PHOENIX, AZ 85015-3212
(480) 293-4258
Mailing address
5060 N 19TH AVE STE 218, PHOENIX, AZ 85015-3212
(480) 293-4258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
578538
—
AZ
Enumeration date
12/03/2019
Last updated
09/23/2020
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