Soul In Motion Therapy, LLC
Social Worker, Clinical in Rogers, AR. Organization (NPI-2).
NPI number1104796754
StatusActive
Last updated in NPPESNov 10, 2025
Details
- NPI
- 1104796754
- Entity type
- Organization (NPI-2)
- Legal business name
- Soul In Motion Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Nov 10, 2025
- Certification date
- Nov 9, 2025
- Last updated
- Nov 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
600 S Promenade Blvd Apt 505Rogers, AR 72758-1728
Phone 313-673-4800
Mailing address
600 S Promenade Blvd Apt 505Rogers, AR 72758-1728
Phone 313-673-4800
Other practice locations
7399 Middlebelt Rd Ste 4
West Bloomfield, MI 48322-4137
West Bloomfield, MI 48322-4137
Phone 313-673-4800
Authorized official
Alicia Chiasson
Owner
3136734800
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