Organization Active NPI

Soulflower Counseling, LLC

  • Community/Behavioral Health Agency
  • Starkville, MS
National Provider Identifier
1144646167
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1859 Issued in MS
Legal business name
SOULFLOWER COUNSELING, LLC
Practice address
203 Edgewood Dr
Starkville, MS 39759-2319
Phone
(662) 769-1647
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Miki Bryant, LPC
Title
Owner
Phone
(662) 769-1647

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1859 MS Primary

Addresses

Primary practice location

203 Edgewood Dr
Starkville, MS 39759-2319

Mailing address

203 Edgewood Dr
Starkville, MS 39759-2319
Phone (662) 769-1647

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1144646167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 EDGEWOOD DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592319",
            "telephone_number": "662-769-1647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 EDGEWOOD DR",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397592319",
            "telephone_number": "662-769-1647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFLOWER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "MIKI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-769-1647",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MS",
            "license": "1859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.