Provider Demographics
NPI:1952819138
Name:SOUL CARE COUNSELING AND CONSULTING. PLLC
Entity Type:Organization
Organization Name:SOUL CARE COUNSELING AND CONSULTING. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOULIES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-610-8454
Mailing Address - Street 1:10535 MOUNT OLIVE ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:NC
Mailing Address - Zip Code:28124-9625
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10535 MOUNT OLIVE ESTATES DR
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:NC
Practice Address - Zip Code:28124-9625
Practice Address - Country:US
Practice Address - Phone:701-610-8454
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-22
Last Update Date:2018-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)