Soul Shine Children'S Treatment Services, Inc. in Pembroke - Clinical
Soul Shine Children'S Treatment Services, Inc. - NPI 1982818399
Soul Shine Children'S Treatment Services, Inc. is a Clinical in Pembroke, North Carolina. Soul Shine Children'S Treatment Services, Inc. practices all healthcare services and medical treatments related to Clinical. The NPI Number for Soul Shine Children'S Treatment Services, Inc. is 1982818399. The last update date is 2015-07-09.
Soul Shine Children'S Treatment Services, Inc.'s current location address is Po Box 1546, Pembroke, North Carolina. You can contact this provider via phone number 9105366094 and fax number 9108439728. The mailing address for Soul Shine Children'S Treatment Services, Inc. is Po Box 1546, Pembroke, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Soul Shine Children'S Treatment Services, Inc. |
|---|---|
| Address | Po Box 1546, Pembroke, North Carolina |
| Phone Number | 9105366094 |
| Fax Number | 9108439728 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Deese Rogers Leshia |
| Credentials | LCSW |
| Telephone Number | 9105366094 |
NPI Number Detail
| NPI Number | 1982818399 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2015-07-09 |
Provider Mailing Address Detail
| Address | Po Box 1546 |
|---|---|
| City | Pembroke |
| State | North Carolina (NC) |
| Post Code | 283721546 |
| Phone Number | 9105366094 |
| Fax Number | 9108439728 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | C005175 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6106174 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Soul Shine Children'S Treatment Services, Inc. by the Centers for Medicare & Medicaid Services?
The Soul Shine Children'S Treatment Services, Inc. has been assigned the NPI (National Provider Identifier) 1982818399. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Soul Shine Children'S Treatment Services, Inc. located?
The Soul Shine Children'S Treatment Services, Inc. is located at Po Box 1546, Pembroke, NC 283721546.
What is the Soul Shine Children'S Treatment Services, Inc.'s area of specialization and corresponding taxonomy classification?
The Soul Shine Children'S Treatment Services, Inc.'s specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
When did the Soul Shine Children'S Treatment Services, Inc. receive its 1982818399?
The Soul Shine Children'S Treatment Services, Inc. was issued its 1982818399 on 2007-05-09, which is the date when the organization was assigned this unique identifier.
As of what date were the Soul Shine Children'S Treatment Services, Inc.'s details last updated?
The information pertaining to the Soul Shine Children'S Treatment Services, Inc., including its address, specialty, and other details, was most recently updated on 2015-07-09.