Soul Blossom LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOUL BLOSSOM LLC

Practice address

2700 W 21St St Ste 3
Erie, PA 16506-6915

Phone

(814) 602-4466

NPI assigned

Jan 26, 2024

Last updated

Feb 2, 2024By 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

Nea Elizabeth Motzer, LPCNPI 1740502699

Title

President

Phone

(814) 602-4466

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nea Elizabeth Motzer, M.A, NCC, LPC

  • Professional Counselor
  • Erie, PA
  • NPI 1740502699
  NPD Authorized official

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

{
    "created_epoch": "1706227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1164284030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 21ST ST STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165066915",
            "telephone_number": "814-602-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 21ST ST STE 3",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165066915",
            "telephone_number": "814-602-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL BLOSSOM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-26",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "MOTZER",
        "authorized_official_first_name": "NEA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "814-602-4466",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Erie, PA
• Providers in Erie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.