Organization
SOUL TRINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDACE BLACK (MANAGING PARTNER)
(404) 692-3404
Entity
Organization
Contact information
Practice address
1609 S EAST ST, INDIANAPOLIS, IN 46225-1809
(317) 210-3198
Mailing address
1609 S EAST ST, INDIANAPOLIS, IN 46225-1809
(317) 210-3198
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
06/28/2025
Last updated
06/28/2025
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