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Contact Information

THE SOUL REMEDIATION CENTER LLC
1629 K ST NW
WASHINGTON, DC20006-1602
 Phone: 202-751-6444
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for THE SOUL REMEDIATION CENTER LLC

NPI Number 1497313282
LBN Legal business name THE SOUL REMEDIATION CENTER LLC
Authorized official KEAN BAXTER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/05/2019
Last updated 12/30/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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