Soul Werk Cafe Pllc

NPI #1750986279 in Richton Park, Illinois

Provider Information

NPI Number: 1750986279
Entity Type: Organization
Organization Name: Soul Werk Cafe Pllc
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 2, 2020
Last Updated: May 7, 2024

Practice Location

Address: 4137 SAUK TRL STE 217
City: Richton Park
State: Illinois
ZIP Code: 60471-1253
Phone: (708) 580-6042

Authorized Official

Name: MS. SHANIQUA FORD, LCSW
Title: OWNER/LEAD THERAPIST
Phone: (773) 574-2570

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Counselor - Mental Health — Mental Health	101YM0800X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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