MEDICARE: SOUL SEARCHERS THERAPY, LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1932086147
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUL SEARCHERS THERAPY, LLC

Provider Business Mailing Address
First Line	:	1847 PEABODY DR
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-1035
Country	:	US
Telephone Number	:	301-752-4984
Fax Number	:

Provider Business Practice Location Address
First Line	:	1847 PEABODY DR
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-1035
Country	:	US
Telephone Number	:	301-752-4984
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXANDRIA KUO
Credential	:	LCSW-C
Telephone Number	:	301-752-4984

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	08/19/2025

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