Soulspace Wellness Center

LBN: Soulspace Wellness Center
Soulspace Wellness Center is an health care organization with primary practice located at 1026 W 11 Mile Rd , Royal Oak MI 48067-5401. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Soulspace Wellness Center can be contacted via phone (248) 397-5080, or through Carulli, Erica via phone (248) 397-5080.

Contact Information

Primary practice address
1026 W 11 Mile Rd Royal Oak MI 48067-5401
Phone: (248) 397-5080
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carulli, Erica MA, LPC
Phone: (248) 397-5080

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1093348781
LBN Legal business name Soulspace Wellness Center
DBA Doing business as
Authorized official Carulli, Erica MA, LPC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2020
Last updated Feb 20th, 2020 - about 4 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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