Active NPI
Soulful Sanctuary, LLC
- Family Nurse Practitioner
- Vincennes, IN
National Provider Identifier
1225944853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- SOULFUL SANCTUARY, LLC
- Practice address
- 707 Busseron St Ste C-1
Vincennes, IN 47591-2903 - Phone
- (812) 881-0435
- Fax
- (812) 203-4161
- NPI assigned
- Aug 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Laci L Thornton, FNP
- Title
- Owner
- Phone
- (618) 928-1530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
707 Busseron St Ste C-1
Vincennes, IN 47591-2903
Mailing address
15549 Lake Lawrence Rd
Lawrenceville, IL 62439-4722
Phone (812) 881-0435
National Provider Directory
National Provider DirectoryLocations
707 Busseron St
Ste C1
Vincennes, IN 47591
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Vincennes, IN
- NPI 1952033979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787356800000",
"number": "1225944853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15549 LAKE LAWRENCE RD",
"city": "LAWRENCEVILLE",
"state": "IL",
"postal_code": "624394722",
"telephone_number": "812-881-0435",
"fax_number": "812-203-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 BUSSERON ST STE C-1",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475912903",
"telephone_number": "812-881-0435",
"fax_number": "812-203-4161"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOULFUL SANCTUARY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-22",
"last_updated": "2026-08-22",
"certification_date": "2026-08-22",
"status": "A",
"authorized_official_last_name": "THORNTON",
"authorized_official_first_name": "LACI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-928-1530",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.