Soul Apothecary, LLC

NPI #1417699471 in O Fallon, Illinois

Provider Information

NPI Number
1417699471
Entity Type
Organization
Organization Name
Soul Apothecary, LLC
Primary Specialty
Clinic/Center - Adult Mental Health
Enumeration Date
Apr 11, 2022
Last Updated
Jan 9, 2023

Practice Location

Address
787 SUNSET BLVD
ZIP Code
62269-1960
Phone
(618) 292-8964

Authorized Official

Name
MALLORY PRINDABLE, MSW, LCSW
Title
MENTAL HEALTH THERAPIST/OWNER
Phone
(618) 292-8964

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adolescent and Children Mental HealthAdolescent and Children Mental Health
Clinic/Center - Adult Mental HealthAdult Mental Health

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