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SOUL CARE PLLC NPI 1821320334


NPI Information

NPI: 1821320334
Provider Name: SOUL CARE, PLLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
5501 EXECUTIVE CENTER DR STE 215
CHARLOTTE, NC
ZIP 28212
Phone: (980) 613-8312
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SOUL CARE, PLLC is a community behavioral health in Charlotte, NC. 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 CARE, PLLC NPI is 1821320334. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5501 EXECUTIVE CENTER DR STE 215
CHARLOTTE, NC
ZIP 28212-823
Phone: (980) 613-8312
Fax: (888) 972-4998

The provider's authorized official is Chantelle M. Johnson .
The authorized official title is Clinical Director/owner and has the following contact phone number (980) 613-8312.

The enumeration date for this NPI number is 2/8/2010 and was last updated on 11/22/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2101YP1600XCounselorPastoralNo
3101YP2500XCounselorProfessional7710NORTH CAROLINANo
4103T00000XPsychologistNo
51041C0700XSocial WorkerClinicalNo
62084P0800XPsychiatry & NeurologyPsychiatryNo
7363A00000XPhysician AssistantNo
8251S00000XCommunity/Behavioral 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.