Organization
SOUL WELLNESS LICENSED CLINICAL SOCIAL WORKER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA GLASS PHD, LCSW (OWNER)
(516) 761-4197
Entity
Organization
Contact information
Practice address
7720 W SUNSET BLVD, WEST HOLLYWOOD, CA 90046-3962
(516) 761-4197
Mailing address
25 CENTRAL PARK W APT 1U, NEW YORK, NY 10023-7214
(516) 761-4197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
08/19/2026
Last updated
08/19/2026
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