Soulspace Wellness Center

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOULSPACE WELLNESS CENTER

Practice address

1026 W 11 Mile Rd
Royal Oak, MI 48067-5401

Phone

(248) 397-5080

NPI assigned

Feb 20, 2020

Organization subpart

No

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

Authorized official

Name

Erica Carulli, MA, LPCNPI 1861025249

Title

Owner / Psychotherapist

Phone

(248) 397-5080

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.

• Erica Renee Carulli, LPC

  • Counselor
  • Royal Oak, MI
  • NPI 1861025249
  NPD Authorized official

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582156800000",
    "number": "1093348781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1923 ARDMORE AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480734179",
            "telephone_number": "248-824-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 W 11 MILE RD",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480675401",
            "telephone_number": "248-397-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULSPACE WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A",
        "authorized_official_last_name": "CARULLI",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER / PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "248-397-5080",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Soucey
• Jennifer Soucie, CRNA
• Maya Soufan, MBBS
• Dana Soukup, MD
• Stephen J Soules
• Maria Kathryn Souphis, DO
• Olivia Rose Souphis, MD
• Ravikumar Sourirajan, PT, DPT
• Marcy Lee Soutar, RN
• Southeast Michigan Neurosurgery PLLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Royal Oak, MI
• Providers in Royal Oak, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.