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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SELF-SOULSTICE, LLC

Active Organization

SELF-SOULSTICE, LLC is a Professional Counselor organization located in STATESBORO, Georgia. NPI 1477959807 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · STATESBORO, GA

Registration Details

NPI Number
1477959807
Provider Type
Organization
NPI Issued
Nov 12, 2014 (11.732106919198 yrs)
Last Updated
Nov 12, 2014
License
LPC005007 (GA)

Practice Information

Address
114 N COLLEGE ST
STATESBORO, GA, 304585309
Browse GA providers · Browse ZIP 30458
Phone
9127557069
Fax
9124809733
Primary Specialty
Professional Counselor
101YP2500X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.