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General NPI Number Information
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NPI Number | 1518755263
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Entity Type | Organization
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Legal Business Name | SOUL GOOD COUNSELING, LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 08/10/2025
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Provider Practice Location Address
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Address Line | 121 W WATER ST
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City | SHULLSBURG
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State | WI
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Zip | 53586
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Country | US
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Telephone | 608-379-3338
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Fax | 608-319-4579
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | SHULLSBURG
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State | WI
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Zip | 53586-0202
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Country | US
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Telephone | 608-379-3338
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Fax | 608-319-4579
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | MEGAN LYNN WOLF
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Credential | LPC, SAC
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Telephone | 608-822-5052
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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