Provider Demographics
NPI:1679057491
Name:SOUL SONG COUNSELING, PLLC
Entity type:Organization
Organization Name:SOUL SONG COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:HART
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:303-929-4906
Mailing Address - Street 1:1001 E BAYAUD AVE APT 1603
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80209-2385
Mailing Address - Country:US
Mailing Address - Phone:303-929-4906
Mailing Address - Fax:
Practice Address - Street 1:1221 S CLARKSON ST STE 222
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-1627
Practice Address - Country:US
Practice Address - Phone:303-929-4906
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-18
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health