Organization Active NPI

Soulful Sanctuary, LLC

  • Family Nurse Practitioner
  • Vincennes, IN
National Provider Identifier
1225944853
Registry record updated Aug 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Aug 22, 2026

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

Authorized official

Name
Mrs. Laci L Thornton, FNPNPI 1952033979
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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.