SOULISTIC COUNSELING CORNER LLC NPI 1972082121

NPI Information

NPI: 1972082121
Provider Name: SOULISTIC COUNSELING CORNER, LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
415 N RICHARD JACKSON BLVD STE 204
PANAMA CITY BEACH, FL
ZIP 32407
Phone: (850) 628-1956
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SOULISTIC COUNSELING CORNER, LLC is a mental health counselor in Panama City Beach, FL. SOULISTIC COUNSELING CORNER, LLC NPI is 1972082121. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

415 N RICHARD JACKSON BLVD STE 204
PANAMA CITY BEACH, FL
ZIP 32407-694
Phone: (850) 628-1956

The provider's authorized official is Shae Nicole Luster .
The authorized official title is Counselor/owner and has the following contact phone number (850) 628-1956.

The enumeration date for this NPI number is 8/8/2018 and was last updated on 8/8/2018.

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
1	101YM0800X	Counselor	Mental Health	MH13989	FLORIDA	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: 11/14/2023

NPI Synchronization or Removal

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