Soul Wellness Licensed Clinical Social Worker INC
Counselor, Professional in West Hollywood, CA. Organization (NPI-2).
NPI number1609782895
StatusActive
Last updated in NPPESAug 19, 2026
Details
- NPI
- 1609782895
- Entity type
- Organization (NPI-2)
- Legal business name
- Soul Wellness Licensed Clinical Social Worker INC
- Organization subpart
- No
- Enumeration date
- Aug 19, 2026
- Certification date
- Aug 19, 2026
- Last updated
- Aug 19, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – |
Practice location
7720 W Sunset BlvdWest Hollywood, CA 90046-3962
Phone 516-761-4197
Mailing address
25 Central Park W Apt 1uNew York, NY 10023-7214
Phone 516-761-4197
Authorized official
Sara Glass
Owner
5167614197
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