Provider Type Icon

SOUL RENEWAL COUNSELING INC NPI 1295387603


NPI Information

NPI: 1295387603
Provider Name: SOUL RENEWAL COUNSELING, INC

Doing Business As: SOUL RENEWAL FAMILY COUNSELING, INC.

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
7737 PACIFIC AVE
LEMON GROVE, CA
ZIP 91945
Phone: (619) 438-0880
Get Directions

SOUL RENEWAL COUNSELING, INC is a mental health counselor in Lemon Grove, CA. SOUL RENEWAL COUNSELING, INC NPI is 1295387603. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Soul Renewal Family Counseling, Inc..

The provider's business location address is:

7737 PACIFIC AVE
LEMON GROVE, CA
ZIP 91945-740
Phone: (619) 438-0880

The provider's authorized official is Patricia Johnson Mims .
The authorized official title is Director and has the following contact phone number (619) 439-2499.

The enumeration date for this NPI number is 7/15/2019 and was last updated on 3/23/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.