Angelique Soulakos, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

313 Dividend Dr Ste 300
Peachtree City, GA 30269-1934

Phone

(770) 344-7208

NPI assigned

May 24, 2021

Last updated

Feb 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Work It Out Wellness

  • Mental Health Counselor
  • Peachtree City, GA
  • NPI 1659138238
  NPD Authorized official

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1407421233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 DIVIDEND DR STE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691934",
            "telephone_number": "770-344-7208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 DIVIDEND DR STE 300",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691934",
            "telephone_number": "770-344-7208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Whitlock Pl SW Ste 100",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300643164",
            "country_code": "US",
            "telephone_number": "770-344-7208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOULAKOS",
        "first_name": "ANGELIQUE",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-24",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Anne Smith
• Harry Snapperman, M.D.
• Aryn J. Snyder, DPT
• Earl J Snyder, M.D.
• Emily Soper, NP
• Southern Pain Institute, PC
• Southside Amr & Health Inc
• Southside Reading Tutor
• Special Hospice Care for You, Inc. (Serenity Hospice)
• Karyn Lynn Staples, MPT

• Mental Health Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.