MEDICARE: SPIRITUAL CENTER THERAPY

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
1	106H00000X	Marriage & Family Therapist

General Provider Information

NPI Number	:	1184571531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPIRITUAL CENTER THERAPY

Provider Business Mailing Address
First Line	:	302 INGLESIDE DR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-3956
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	302 INGLESIDE DR
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71203-3956
Country	:	US
Telephone Number	:	318-547-6401
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SOVICHAN SCARIA
Credential	:
Telephone Number	:	318-547-6401

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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Directions to “SPIRITUAL CENTER THERAPY ” Practice Location

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