Soul Bloom Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SOUL BLOOM COUNSELING, LLC

Practice address

1100 Indian Trail Lilburn Rd Apt 821
Norcross, GA 30093-4573

Phone

(470) 648-0811

NPI assigned

Mar 3, 2025

Organization subpart

No

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

Authorized official

Name

Valencia Rashaun BeardNPI 1831723493

Title

Mental Health Therapist

Phone

(470) 648-0811

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.

• Valencia Rashaun Beard

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1831723493
  NPD Authorized official

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

{
    "created_epoch": "1740960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1174321541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 INDIAN TRAIL LILBURN RD APT 821",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300934573",
            "telephone_number": "470-648-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 INDIAN TRAIL LILBURN RD APT 821",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300934573",
            "telephone_number": "470-648-0811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL BLOOM COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-03",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "BEARD",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_middle_name": "RASHAUN",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "470-648-0811"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faraz Soltanian, D.D.S.
• Jong K Song, M.D.
• Neha N Soni, MD
• Sonic Care Solutions LLC
• Gerardo L. Sotomayor, M.D.
• Southcare Spinal Rehab
• Southern Oaks Healthcare Services Inc
• Southside Medical Center, Inc.
• Sovereign Hospice Inc.
• Sozo Psychiatric Professional Services LLC

• Adult Mental Health Clinic/Center in Norcross, GA
• Providers in Norcross, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.