Provider Demographics
NPI:1790558591
Name:ARTSOULES LLC
Entity Type:Organization
Organization Name:ARTSOULES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:E
Authorized Official - Last Name:APODACA
Authorized Official - Suffix:
Authorized Official - Credentials:MA LPAT
Authorized Official - Phone:505-715-7062
Mailing Address - Street 1:504 10TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-4135
Mailing Address - Country:US
Mailing Address - Phone:505-715-7062
Mailing Address - Fax:
Practice Address - Street 1:504 10TH AVE NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-4135
Practice Address - Country:US
Practice Address - Phone:505-715-7062
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-02
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty