Healthcare Provider Details

I. General information

NPI: 1245145598
Provider Name (Legal Business Name): STILL SOULS WELLNESS STUDIOS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6202 DAVIS RD
WAXHAW NC
28173-8405
US

IV. Provider business mailing address

4910 SANDSTONE LN
MONROE NC
28110-7949
US

V. Phone/Fax

Practice location:
  • Phone: 980-210-9434
  • Fax:
Mailing address:
  • Phone: 980-210-9434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DAVID GARCIAS
Title or Position: CEO/LMBT
Credential: LMBT
Phone: 980-210-9434