SOUL FRIENDS INC NPI 1154499804

NPI Information

  • NPI: 1154499804
  • Provider Name: SOUL FRIENDS, INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 300 CHURCH ST
    SUITE 105
    WALLINGFORD, CT
    ZIP 06492
  • Phone: (203) 679-0849

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NPI Details

SOUL FRIENDS, INC is a community behavioral health in Wallingford, CT. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. SOUL FRIENDS, INC NPI is 1154499804. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

300 CHURCH ST
SUITE 105
WALLINGFORD, CT
ZIP 06492-253
Phone: (203) 679-0849

The provider's authorized official is M. Kathryn Nicoll .
The authorized official title is President and has the following contact phone number (203) 679-0849.

The enumeration date for this NPI number is 12/1/2006 and was last updated on 1/8/2014.

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
11041C0700XSocial WorkerClinical002617CONNECTICUTNo
2251S00000XCommunity/Behavioral HealthCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1=========OTHERCONNECTICUTTAX ID

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: 11/21/2025

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