Organization · Type 2 NPI
The Integrated Soul, LLC
Adult Mental Health Clinic/Center · Springfield, IL
NPI number
1356029045
Active
Practice location
2501 Chatham Rd Ste 4520
Springfield, IL 62704-4188
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1356029045
The Integrated Soul, LLC's National Provider Identifier is 1356029045, issued on Jul 11, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Springfield, IL. The record was last updated on Jul 11, 2023.