Soul Solutions Therapeutic Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUL SOLUTIONS THERAPEUTIC SERVICES, LLC

Practice address

1702 Hudson Bridge Rd
Stockbridge, GA 30281-6387

Phone

(404) 635-8178

Fax

(470) 300-7877

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Tiffany Maria Taylor, LCSWNPI 1366737223

Title

Licensed Clinical Social Worker

Phone

(404) 635-8178

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.

• Tiffany Maria Taylor, MSW, LCSW

  • Clinical Social Worker
  • Smyrna, GA
  • NPI 1366737223
  NPD Authorized official

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1124651195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1702 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816387",
            "telephone_number": "404-635-8178",
            "fax_number": "470-300-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1702 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816387",
            "telephone_number": "404-635-8178",
            "fax_number": "470-300-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SOLUTIONS THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "404-635-8178",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latrena Solomon, PHARMD
• Schquita Solomon
• Dayoung Song, DMD MS
• Sandra Ivelisse Sosa-Carlin, ED.D, NCC, LMHC, LPC
• Ashley Marie Soto
• South Atlanta Ambulatory Surgical Center, LLC
• South Atlanta Neurology & Pain Clinic, PC
• South Atlanta Neurosurgery
• South Atlanta Vascular Institute, LLC
• South Horizon Healthcare LLC

• Community/Behavioral Health Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Community/Behavioral Health Agency in Georgia

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