Provider Demographics
NPI:1760290332
Name:SOUL SESSIONS, PLLC
Entity type:Organization
Organization Name:SOUL SESSIONS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GWENYTH
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HAYES
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:734-249-9219
Mailing Address - Street 1:201 S 1ST ST APT 123
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48104-1761
Mailing Address - Country:US
Mailing Address - Phone:734-249-9219
Mailing Address - Fax:
Practice Address - Street 1:201 S 1ST ST APT 123
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48104-1761
Practice Address - Country:US
Practice Address - Phone:734-249-9219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-27
Last Update Date:2024-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty