Souls Harbor of Rogers Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

SOULS HARBOR OF ROGERS INC.

Practice address

1206 N 2ND St
Rogers, AR 72756-2836

Phone

(479) 640-4225

NPI assigned

Jan 3, 2018

Organization subpart

No

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

Authorized official

Name

Charlene Fields

Title

Executive Director

Phone

(479) 640-4225

Specialties & licenses 2

Addresses

Practitioners 1

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

• Samantha Brown, LMSW

  • Social Worker
  • Searcy, AR
  • NPI 1073395455
  NPD (past)

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514937600000",
    "number": "1215444963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562836",
            "telephone_number": "479-640-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N 2ND ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562836",
            "telephone_number": "479-640-4225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULS HARBOR OF ROGERS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-03",
        "last_updated": "2018-01-03",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "479-640-4225"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Ray Sorensen, PT, MSPT
• Alexandria Christine Sorenson
• Amy Elizabeth Sorg, MCD CCC-SLP
• Presley Souers, LPC
• Soul in Motion Therapy, LLC
• South Central Medical Services PA
• South Dixieland Road Operating LLC
• South Wind Psychological Services
• Southeastern Emergency Services PC
• Brianna R Souza

• Substance Use Disorder Rehabilitation Clinic/Center in Rogers, AR
• Providers in Rogers, AR by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2018; 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.