SOULS TANGO LLC NPI 1306790373

NPI Information

  • NPI: 1306790373
  • Provider Name: SOULS TANGO LLC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 110 BAILEY RD
    CENTRAL, SC
    ZIP 29630
  • Phone: (864) 696-6585

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NPI Details

SOULS TANGO LLC is a mental health counselor in Central, SC. SOULS TANGO LLC NPI is 1306790373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

110 BAILEY RD
CENTRAL, SC
ZIP 29630-553
Phone: (864) 696-6585

The provider's authorized official is April Cerise Tituus .
The authorized official title is Owner, Clinical Counselor and has the following contact phone number (864) 696-6585.

The enumeration date for this NPI number is 2/25/2026 and was last updated on 2/25/2026.

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
1101Y00000XCounselorNo
2101YA0400XCounselorAddiction (Substance Use Disorder)No
3101YP2500XCounselorProfessionalNo
4101YM0800XCounselorMental 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: 11/21/2025

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