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General NPI Number Information
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NPI Number | 1194645226
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Entity Type | Organization
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Legal Business Name | LE SOUL ATELIER LLC
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Dates
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Enumeration Date | 07/18/2026
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Last Update Date | 07/18/2026
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Provider Practice Location Address
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Address Line | 3680 WILSHIRE BLVD STE P04-1935
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City | LOS ANGELES
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State | CA
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Zip | 90010-2707
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Country | US
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Telephone | 323-798-9602
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5066
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City | BELLFLOWER
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State | CA
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Zip | 90707-5066
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHAREE JOHNSON
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Credential | LCSW
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Telephone | 562-367-9266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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