Organization
NURTURED SOUL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANANDA SOTHERLAND LPCC-S (OWNER)
(216) 543-2368
Entity
Organization
Contact information
Practice address
11811 SHAKER BLVD STE 204, CLEVELAND, OH 44120-1927
(216) 452-2494
Mailing address
11811 SHAKER BLVD STE 204, CLEVELAND, OH 44120-1927
(216) 452-2494
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
04/20/2023
Last updated
04/20/2023
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