Noetic Soul Wellness LLC
NPI #1760355739 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1760355739
- Entity Type
- Organization
- Organization Name
- Noetic Soul Wellness LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Sep 25, 2025
- Last Updated
- Sep 25, 2025
Practice Location
- Address
- 4699 MAIN ST STE 201
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06606-1830
- Phone
- (203) 465-6765
Authorized Official
- Name
- NATASHA RANDOLPH, LCSW
- Title
- OWNER
- Phone
- (215) 971-0133
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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