Organization
SOUL LL SOUL HEALTH & WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA TIRONI (OWNER / COACH)
(201) 469-6307
Entity
Organization
Contact information
Practice address
8 SYCAMORE TRL, NEWTON, NJ 07860-6839
(201) 469-6307
Mailing address
8 SYCAMORE TRL, NEWTON, NJ 07860-6839
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QC1800X
Corporate Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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