Soulstice Therapeutic Solutions, LLC

NPI #1821545815 in Wauchula, Florida

Provider Information

NPI Number: 1821545815
Entity Type: Organization
Organization Name: Soulstice Therapeutic Solutions, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Sep 7, 2016
Last Updated: Sep 7, 2016

Practice Location

Address: 901 W MAIN ST STE 121
City: Wauchula
State: Florida
ZIP Code: 33873-2532
Phone: (863) 773-6573

Authorized Official

Name: MR. MICAH S. HENDRICKSON, LMHC
Title: OWNER
Phone: (863) 773-6573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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