Organization
SOULFUL HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YIANNI MIKALIS LCPC, LCPAT (OWNER)
(240) 715-7991
Entity
Organization
Contact information
Practice address
624 S WOLFE ST, BALTIMORE, MD 21231-3034
(240) 715-7991
Mailing address
624 S WOLFE ST, BALTIMORE, MD 21231-3034
(240) 715-7991
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
221700000X
Art Therapist
—
—
Other
Enumeration date
10/11/2024
Last updated
10/11/2024
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