NPI 1013581404

Soulmosaic, PLLC

Organisation Counselor Morgantown, WV

Practice location

Address: 240 Scott Ave STE 4, Morgantown, WV 26508-8805
Phone: (304) 685-8967
Mailing address: 509 Lake St, Morgantown, WV 26505-3312

Authorised official

Name: Jessica Nicole Matala
Title: Owner
Phone: (304) 685-8967

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

Other Counselor providers in West Virginia →

Registry record

NPI: 1013581404
Entity type: Organization
NPI issued: 19 May 2021
Record last updated: 19 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.