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Organization

SOULFUL HEALING & WELLNESS

Active
Other names
Soulful Healing & Wellness
Organization subpart
No

Provider details

NPI number
Authorized official
CLYDE ANTONIO HILLIARD LCSW (THERAPIST/OWNER)
(401) 263-1203
Entity
Organization

Contact information

Practice address
225 MAIN ST., PAWTUCKET, RI 02860
(401) 263-1203
Mailing address
28 AUGUST ST, PROVIDENCE, RI 02908-2905
(401) 263-1203
(401) 263-1203

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/05/2025
Last updated
08/05/2025
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