Soulful Living LLC
Clinic/Center, Adult Mental Health in Bloomfield Hills, MI. Organization (NPI-2).
NPI number1609342146
StatusActive
Last updated in NPPESOct 23, 2018
Details
- NPI
- 1609342146
- Entity type
- Organization (NPI-2)
- Legal business name
- Soulful Living LLC
- Organization subpart
- No
- Enumeration date
- Oct 23, 2018
- Last updated
- Oct 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | Yes |
Practice location
74 W Long Lake Rd Ste 100Bloomfield Hills, MI 48304-2770
Phone 248-885-0225 · Fax 734-207-5326
Mailing address
74 W Long Lake Rd Ste 100Bloomfield Hills, MI 48304-2770
Phone 248-885-0225 · Fax 734-207-5326
Authorized official
Tamara Kolton
LLP/Owner
2488850225
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