Soul Threads

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0120591 Issued in NM

Legal business name

SOUL THREADS

Practice address

2074 Galisteo St
B-3 Suite 1
Santa Fe, NM 87505

Phone

(505) 819-9434

Fax

(505) 757-3413

NPI assigned

Aug 17, 2009

Last updated

Aug 17, 2009By 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

Ms. Llani Marie Mraz, LPCC

Title

Owner

Phone

(505) 819-9434

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1250467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250467200000",
    "number": "1235361890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 722",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875040722",
            "telephone_number": "505-819-9434",
            "fax_number": "505-757-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 GALISTEO ST",
            "address_2": "B-3 SUITE 1",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "87505",
            "telephone_number": "505-819-9434",
            "fax_number": "505-757-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL THREADS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-17",
        "last_updated": "2009-08-17",
        "status": "A",
        "authorized_official_last_name": "MRAZ",
        "authorized_official_first_name": "LLANI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-819-9434",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0120591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Marc Sosin, MD
• Anel Noheli Soto Tena
• Jane Soucek
• Soul Explicit Counseling & Authentic Intelligence LLC
• Soul Healing Center
• Sound Diagnostics LLC
• Charisse Mercedes South, BA
• Southwest C a R E Center
• Southwest Care Center
• Southwest Care Center (Southwest CARE Center Family Medicine)

• Professional Counselor in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Professional Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; 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.