Organization
SOAR PROFESSIONAL COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRANCE SOUTHERN LPC (CLINICAL THERAPIST/SUPERVISOR)
(602) 492-5176
Entity
Organization
Contact information
Practice address
8033 W MINNEZONA AVE, PHOENIX, AZ 85033-2241
(602) 492-5176
Mailing address
8033 W MINNEZONA AVE, PHOENIX, AZ 85033-2241
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
11/29/2025
Last updated
11/29/2025
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