Provider Demographics
NPI:1134850753
Name:SOUL BEAUTIFUL COUNSELING AND CONSULTING
Entity type:Organization
Organization Name:SOUL BEAUTIFUL COUNSELING AND CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DOROTHEA
Authorized Official - Middle Name:GENAE
Authorized Official - Last Name:HARDRICK
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC-S
Authorized Official - Phone:216-256-4697
Mailing Address - Street 1:398 UNION STREET
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:OH
Mailing Address - Zip Code:44146-4569
Mailing Address - Country:US
Mailing Address - Phone:216-256-4697
Mailing Address - Fax:
Practice Address - Street 1:398 UNION ST
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:OH
Practice Address - Zip Code:44146-4569
Practice Address - Country:US
Practice Address - Phone:216-256-4697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty