Soulspace Counseling LLC
NPI #1811726482 in Waterford, Connecticut
Provider Information
- NPI Number
- 1811726482
- Entity Type
- Organization
- Organization Name
- Soulspace Counseling LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Jul 31, 2024
- Last Updated
- Aug 4, 2024
Practice Location
- Address
- 28 ROSELEAH DR
- City
- Waterford
- State
- Connecticut
- ZIP Code
- 06385-4310
- Phone
- (860) 941-4743
Authorized Official
- Name
- MS. MARIAH FAIRLEY, LPC
- Title
- OWNER
- Phone
- (860) 941-4743
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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