Organization Active NPI

Soul Synergy LLC

  • Counselor
  • East Lyme, CT
National Provider Identifier
1245675941
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
2024 Issued in CT
Legal business name
SOUL SYNERGY LLC
Practice address
12 Grassy Hill Rd
East Lyme, CT 06333-1008
Phone
(860) 857-8198
NPI assigned
May 8, 2013
Last updated
May 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Mrs. Elizabeth Muller Kramer, LPCNPI 1790082683
Title
Member/Partner
Phone
(860) 857-8198

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
Counselor 101Y00000X 2024 CT Primary

Addresses

Primary practice location

12 Grassy Hill Rd
East Lyme, CT 06333-1008

Mailing address

12 Grassy Hill Rd
East Lyme, CT 06333-1008
Phone (860) 857-8198

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1245675941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GRASSY HILL RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331008",
            "telephone_number": "860-857-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 GRASSY HILL RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331008",
            "telephone_number": "860-857-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL SYNERGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MULLER",
        "authorized_official_title_or_position": "MEMBER/PARTNER",
        "authorized_official_telephone_number": "860-857-8198",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CT",
            "license": "2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lyme, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.