Organization · NPI-2

A Soulful Journey Into Wellness

Clinic/Center, Mental Health (Including Community Mental Health Center) · Milwaukee, WI

NPI number1336087386
StatusActive
Last updated in NPPESMar 23, 2026

Details

NPI
1336087386
Entity type
Organization (NPI-2)
Legal business name
A Soulful Journey Into Wellness
Organization subpart
No
Enumeration date
Mar 23, 2026
Certification date
Mar 16, 2026
Last updated
Mar 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

1014 West Nash St.
Milwaukee, WI 53206

Phone 414-522-1403

Mailing address

1014 W Nash St
Milwaukee, WI 53206-3070

Phone 414-398-6766

Authorized official

Derica Ringo
Psychotherapist
4143986766

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