Soul Enrichment Ministries Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SOUL ENRICHMENT MINISTRIES INC.

Practice address

11901 Avalon Blvd
Los Angeles, CA 90061-2836

Phone

(323) 754-1736

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Michael Dwayne Willis Sr., LMFTNPI 1528540382

Title

Project Director

Phone

(310) 920-2068

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Dwayne Willis

  • Marriage & Family Therapist
  • Culver City, CA
  • NPI 1528540382
  NPD Authorized official

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761868800000",
    "number": "1386386977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11901 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612836",
            "telephone_number": "323-754-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11901 AVALON BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900612836",
            "telephone_number": "323-754-1736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL ENRICHMENT MINISTRIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DWAYNE",
        "authorized_official_title_or_position": "PROJECT DIRECTOR",
        "authorized_official_telephone_number": "310-920-2068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janine Souffront, RD
• Negin Torfeh Soufi Siavash, PHARMD
• Harmik J Soukiasian, M.D.
• Soul Aligned Health & Wellness LLC
• Soul Collective Therapy
• Soul Street Medicine, Inc.
• Coby Soule
• Serko Soultanian, PHARMD
• Lisa Soumekh
• Rachel Soumekh

• Mental Health Clinic/Center (Including Community Mental Health Center) in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; 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.