Organization · Type 2 NPI
Soul Apothecary, LLC
Adult Mental Health Clinic/Center · O Fallon, IL
NPI number
1417699471
Active
Practice location
787 Sunset Blvd
O Fallon, IL 62269-1960
Mailing address
306 Emily Cir
O Fallon, IL 62269-1301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | 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.
3 other providers at this address
Other adult mental health clinic/center providers in O Fallon
About NPI 1417699471
Soul Apothecary, LLC's National Provider Identifier is 1417699471, issued on Apr 11, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in O Fallon, IL. The record was last updated on Jan 9, 2023.