Soul Journey LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUL JOURNEY LLC

Practice address

8310 Charleston Peak St
Las Vegas, NV 89166-5168

Phone

(702) 321-8984

NPI assigned

Dec 19, 2021

Organization subpart

No

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

Authorized official

Name

Tracee ThomasNPI 1407165681

Title

Owner

Phone

(702) 321-8984

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Tracee Thomas

  • Rehabilitation Practitioner
  • North Las Vegas, NV
  • NPI 1407165681
  NPD Authorized official

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

{
    "created_epoch": "1639872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639872000000",
    "number": "1073273082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8310 CHARLESTON PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8310 CHARLESTON PEAK ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891665168",
            "telephone_number": "702-321-8984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL JOURNEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-19",
        "last_updated": "2021-12-19",
        "certification_date": "2021-12-19",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TRACEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-321-8984"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407165681",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Soucy, LPC, LCPC, LPCC
• Anwar Akram Soudah, BSC
• Mehran Soudbakhsh, D.C.
• Steven Souder
• Tiffany Souksengdao
• Soul Purpose Sober Living LLC
• Emad Soumi, M.D.
• John Soumi, DDS
• Rasha Soumi
• Sound Mind and Body Mobile Healthcare Services, LLC

• Mental Health Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.