Soul Tree Counseling & Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW11877 Issued in FL

Legal business name

SOUL TREE COUNSELING & WELLNESS, LLC

Practice address

1000 E la Rua St
Pensacola, FL 32501-4108

Phone

(850) 483-0334

NPI assigned

Sep 18, 2017

Last updated

Jul 21, 2022By 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

Eiyah Elizabeth Shepherd, LCSWNPI 1376955450

Title

Owner / Manager

Phone

(850) 483-0334

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Eiyah Elizabeth Shepherd, L.C.S.W.

  • Clinical Social Worker
  • Pensacola, FL
  • NPI 1376955450
  Authorized official Same address or phone

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1205355591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E LA RUA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014108",
            "telephone_number": "850-483-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E LA RUA ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325014108",
            "telephone_number": "850-483-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL TREE COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2022-07-21",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "EIYAH",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER / MANAGER",
        "authorized_official_telephone_number": "850-483-0334",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.soultreecounseling.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1000 E La Rua St",
            "city": "Pensacola",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325014108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Daniel L. Sontheimer, M.D., MBA
• Shubham Sood, MD
• Ashton Sorrells, ARNP
• Alba Rocio Soto-Delgado
• Mounzer Soued, MD
• Soulful Shore Therapy
• Soundside Therapy LLC
• Phokham Mike Sourivanh, PA-C
• South Coast Audiology, LLC (Ascent Audiology and Hearing)
• Southeast Association of Healthcare Providers Inc (Return to Health Medical Home and Wellness Center)

• Clinical Social Worker in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Clinical Social Worker in Florida

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