Soul Solutions, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

66084 Issued in TX

Legal business name

SOUL SOLUTIONS, PLLC

Doing business as

Shannon Lynch Williams, M.Ed., LPC, NCC

Practice address

107 W Main
Trinity, TX 75862-0000

Phone

(409) 283-1974

Fax

(936) 228-7994

NPI assigned

Mar 21, 2014

Last updated

Mar 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shannon L Williams, M.ED., LPC, NCC

Title

Owner

Phone

(409) 283-1974

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Shannon Lynch Williams, M.Ed., LPC, NCC Doing business as

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395360000000",
    "number": "1134546724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6858 KINGSTON COVE LN",
            "city": "WILLIS",
            "state": "TX",
            "postal_code": "773189121",
            "telephone_number": "409-283-1974",
            "fax_number": "936-228-7994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W MAIN",
            "city": "TRINITY",
            "state": "TX",
            "postal_code": "758620000",
            "telephone_number": "409-283-1974",
            "fax_number": "936-228-7994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SOLUTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-03-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "409-283-1974",
        "authorized_official_credential": "M.ED., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "66084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "2303810",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323797601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH ID",
            "identifier": "12618131",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323797602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE CHIELD OF TX",
            "identifier": "9203LL",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shannon Lynch Williams, M.Ed., LPC, NCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Trinity, TX
• Providers in Trinity, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.