Soul Eminence Center for Spiritual Development

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

SOUL EMINENCE CENTER FOR SPIRITUAL DEVELOPMENT

Practice address

3411 N 16TH St Apt 2062
Phoenix, AZ 85016-7175

Phone

(610) 653-4021

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Olivia Brewer, MSC, LBSNPI 1962878819

Title

President

Phone

(610) 653-4021

Specialties & licenses 1

Addresses

Practitioners 1

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

• Olivia Brewer, MS. LBS

  • Behavior Technician
  • Seagoville, TX
  • NPI 1962878819
  NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1235916701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54012",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850784012",
            "telephone_number": "610-653-4021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 N 16TH ST APT 2062",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167175",
            "telephone_number": "610-653-4021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL EMINENCE CENTER FOR SPIRITUAL DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-09",
        "status": "A",
        "authorized_official_last_name": "BREWER",
        "authorized_official_first_name": "OLIVIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-653-4021",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSC, LBS"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sonia Marie Soto, L.M.T.
• Yesenia Soto
• Rebecca N Sotos-Zachary
• Darek Sott, DO
• Nina Souders, MD
• Soulrise Studios LLC
• Soundmind Counseling, PLLC
• Sounds of Care L.L.C
• Sourougnani LLC
• South Central Dental LLC

• Developmental Disabilities Clinic/Center in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Developmental Disabilities Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.