SOMA RECOVERY LLC NPI 1750850723

NPI Information

NPI: 1750850723
Provider Name: SOMA RECOVERY LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 17D2175451

Address:
825 N WACO AVE
WICHITA, KS
ZIP 67203
Phone: (316) 201-6047
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SOMA RECOVERY LLC is a mental health counselor in Wichita, KS. SOMA RECOVERY LLC NPI is 1750850723. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

825 N WACO AVE
WICHITA, KS
ZIP 67203-939
Phone: (316) 201-6047
Fax: (316) 221-7157

The provider's authorized official is Jenny Helms .
The authorized official title is Owner, Therapist and has the following contact phone number (770) 715-4772.

The CLIA number assigned to this NPI record is 17D2175451 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/19/2018 and was last updated on 11/9/2021.

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	106H00000X	Marriage & Family Therapist		No
2	133V00000X	Dietitian, Registered		No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM0850X	Clinic/Center	Adult Mental Health	No
5	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
6	405300000X	Prevention Professional		No
7	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: 4/28/2024

NPI Synchronization or Removal

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