Organization
SOULS SPROUT MINDFUL CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICE VEASEY LMHC (PRESIDENT)
(781) 261-0822
Entity
Organization
Contact information
Practice address
800 BOYLSTON ST FL 16, BOSTON, MA 02199-7637
(781) 261-0822
Mailing address
800 BOYLSTON ST FL 16, BOSTON, MA 02199-7637
(781) 261-0822
(857) 202-8057
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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