Provider Demographics
NPI:1598342677
Name:SOUL SEARCH RECORDS LLC
Entity Type:Organization
Organization Name:SOUL SEARCH RECORDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CAINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-588-5557
Mailing Address - Street 1:60 MIDVALE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN LAKES
Mailing Address - State:NJ
Mailing Address - Zip Code:07046-1309
Mailing Address - Country:US
Mailing Address - Phone:973-588-5557
Mailing Address - Fax:
Practice Address - Street 1:60 MIDVALE RD STE 210
Practice Address - Street 2:
Practice Address - City:MOUNTAIN LAKES
Practice Address - State:NJ
Practice Address - Zip Code:07046-1309
Practice Address - Country:US
Practice Address - Phone:973-588-5557
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health