Organization
SOULSHINE INTEGRATIVE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIE KOONTZ LCMCH, LMT (CLINICAL MENTAL HEALTH COUNSELOR)
(802) 327-3720
Entity
Organization
Contact information
Practice address
1788 GIBOU RD, MONTGOMERY CENTER, VT 05471-2032
(802) 327-3720
Mailing address
1788 GIBOU RD, MONTGOMERY CENTER, VT 05471-2032
(802) 327-3720
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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