Soulful Somatics Licensed Clinical Social Worker Pc

LBN: Soulful Somatics Licensed Clinical Social Worker Pc
Soulful Somatics Licensed Clinical Social Worker Pc is an health care organization with primary practice located at 4 Governors Ln Ste C , Chico CA 95926-5514. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Soulful Somatics Licensed Clinical Social Worker Pc can be contacted via phone (530) 531-3459, or through Free, Krisrin Brooke via phone (530) 354-0455.

Contact Information

Primary practice address
4 Governors Ln Ste C Chico CA 95926-5514
Phone: (530) 531-3459
Fax: (844) 525-7544
Website:
Map and Directions
Authorized official contact:
Name: Free, Krisrin Brooke Licensed Clinical Social Worker (LCSW)
Phone: (530) 354-0455

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1164135604
LBN Legal business name Soulful Somatics Licensed Clinical Social Worker Pc
DBA Doing business as
Authorized official Free, Krisrin Brooke Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 29th, 2022
Last updated Dec 29th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164135604 NPPES
California MEDICAID 592984

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