Soul Expressions the Counseling and Wellness Cafe PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SOUL EXPRESSIONS THE COUNSELING AND WELLNESS CAFE PLLC

Practice address

4028 Lemuel Farm Rd
Fayetteville, NC 28312-9274

Phone

(910) 379-0582

Fax

(910) 745-8035

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Tonia Marie Locklear, LCSWNPI 1437704467

Title

Owner

Phone

(910) 379-0582

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Tonia M Locklear

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1437704467

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1194477604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 LEMUEL FARM RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129274",
            "telephone_number": "910-379-0582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 LEMUEL FARM RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283129274",
            "telephone_number": "910-379-0582",
            "fax_number": "910-745-8035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL EXPRESSIONS THE COUNSELING AND WELLNESS CAFE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "LOCKLEAR",
        "authorized_official_first_name": "TONIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-379-0582",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437704467",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Kathryn Lynne Sounier, BA, SLPA
• South Eastern Chiropractic and Wellness

• All providers in Fayetteville, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.