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NPI Code Detail

MEDICARE: VERVE SOUL WELLNESS PLLC

MEDICARE: VERVE SOUL WELLNESS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1104706563
Entity Type Code : Organization
Provider Name (Legal Business Name) : VERVE SOUL WELLNESS PLLC
Provider Business Mailing Address
First Line : 890 S KERR AVE STE 200
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-4248
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 890 S KERR AVE STE 200
Second Line :
City : WILMINGTON
State : NC
Zip : 28403-4248
Country : US
Telephone Number : 910-444-1790
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MICHELLE HALL
Credential :
Telephone Number : 704-299-2403
Provider Enumeration Date : 09/05/2025
Last Update Date : 09/05/2025

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Directions to “VERVE SOUL WELLNESS PLLC ” Practice Location

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