ELTON'S SOUL TO SOUL COMPANY NPI 1104465129

NPI Information

NPI: 1104465129
Provider Name: ELTON'S SOUL TO SOUL COMPANY
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3247 ELECTRIC RD STE 1A
ROANOKE, VA
ZIP 24018
Phone: (540) 772-0690
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ELTON'S SOUL TO SOUL COMPANY is a mental health counselor in Roanoke, VA. ELTON'S SOUL TO SOUL COMPANY NPI is 1104465129. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3247 ELECTRIC RD STE 1A
ROANOKE, VA
ZIP 24018-448
Phone: (540) 772-0690
Fax: (540) 772-0692

The provider's authorized official is Nicole Carpenter Elton .
The authorized official title is Provider and has the following contact phone number (540) 353-2244.

The enumeration date for this NPI number is 12/23/2019 and was last updated on 12/23/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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