Soul Guided Healing Wellness LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SOUL GUIDED HEALING WELLNESS LLC

Practice address

2163 Sandy Beach Rd
South Boston, VA 24592-6623

Phone

(434) 222-7239

NPI assigned

Feb 3, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Felicia BowmanNPI 1447846688

Title

Ceo/Clinical Director

Phone

(434) 222-7239

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Felicia Jeanette Bowman, LCSW

  • Clinical Social Worker
  • South Boston, VA
  • NPI 1447846688
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612310400000",
    "number": "1043802846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2163 SANDY BEACH RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245926623",
            "telephone_number": "434-222-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2163 SANDY BEACH RD",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245926623",
            "telephone_number": "434-222-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL GUIDED HEALING WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-03",
        "last_updated": "2021-02-03",
        "certification_date": "2021-02-03",
        "status": "A",
        "authorized_official_last_name": "BOWMAN",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "434-222-7239"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Alan Shuford, MD
• Kathleen Sibley, MS/CCC-SLP
• Ruth Simon, LCSW
• Kelly Smith
• Minkyeong Son, DDS
• South Boston Behavioral Health LLC (Hopewood Recovery Center)
• South Boston Health & Rehab Center, LLC
• South Boston Manor, LLC
• South Boston Pediatrics, PC
• South Boston Transportation LLC

• Adult Mental Health Clinic/Center in South Boston, VA
• Providers in South Boston, VA by specialty
• Adult Mental Health Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.