Provider Demographics
NPI:1093590408
Name:STABLE SOUL PLLC
Entity Type:Organization
Organization Name:STABLE SOUL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:C
Authorized Official - Last Name:ABERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LPC
Authorized Official - Phone:803-767-5145
Mailing Address - Street 1:433 GOLDEN OAK WAY
Mailing Address - Street 2:
Mailing Address - City:MONCURE
Mailing Address - State:NC
Mailing Address - Zip Code:27559-8000
Mailing Address - Country:US
Mailing Address - Phone:803-767-5145
Mailing Address - Fax:
Practice Address - Street 1:433 GOLDEN OAK WAY
Practice Address - Street 2:
Practice Address - City:MONCURE
Practice Address - State:NC
Practice Address - Zip Code:27559-8000
Practice Address - Country:US
Practice Address - Phone:803-767-5145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-25
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty