SOULACE GROUP LLC NPI 1548891989

NPI Information

NPI: 1548891989
Provider Name: SOULACE GROUP LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
91 PARK AVE W STE A
MANSFIELD, OH
ZIP 44902
Phone: (419) 571-1332
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SOULACE GROUP LLC is a professional counselor in Mansfield, OH. SOULACE GROUP LLC NPI is 1548891989. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

91 PARK AVE W STE A
MANSFIELD, OH
ZIP 44902-630
Phone: (419) 571-1332
Fax: (567) 205-5060

The provider's authorized official is Richard Joseph Hoffmann .
The authorized official title is Owner/ Therapist and has the following contact phone number (419) 571-1332.

The enumeration date for this NPI number is 2/3/2020 and was last updated on 2/3/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
2	101YM0800X	Counselor	Mental Health	No
3	101YP2500X	Counselor	Professional	Yes

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	0224275	MEDICAID	OHIO
2	0290637	MEDICAID	OHIO

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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