Soul Fire Productions LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOUL FIRE PRODUCTIONS LLC

Practice address

440 Burroughs St
Detroit, MI 48202-3429

Phone

(313) 459-9869

NPI assigned

Oct 6, 2017

Organization subpart

No

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

Authorized official

Name

Larmender Amia Davis

Title

Principal

Phone

(313) 459-9869

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1285144014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29488 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730903",
            "telephone_number": "248-795-5187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 BURROUGHS ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482023429",
            "telephone_number": "313-459-9869"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20755 Greenfield Rd",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480755403",
            "country_code": "US",
            "telephone_number": "313-459-9869",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUL FIRE PRODUCTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-06",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "LARMENDER",
        "authorized_official_middle_name": "AMIA",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "313-459-9869"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenndal Soto, AGACNP-BC
• Melissa Marie Soto
• Ayman Omar Soubani, MD
• Omar Ayman Soubani, DO
• Fadia A Soueidan, RRT
• Brittany A Soule, RBT
• Patrick Soule
• Soulstead Echo Ridge LLC
• Soulstead Valorgrid Inc
• Sound Mind Christian Counseling Services, LLC

• Community/Behavioral Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Community/Behavioral Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.