Organization Active NPI

Soul Care

  • Counselor
  • Roswell, GA
National Provider Identifier
1457691156
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
SOUL CARE
Practice address
77 E Crossville Rd
Suite 207
Roswell, GA 30075-5815
Phone
(678) 999-3951
NPI assigned
Feb 18, 2013
Last updated
Feb 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Authorized official

Name
Nathan Shattuck
Title
Owner
Phone
(678) 999-3951

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU Primary

Addresses

Primary practice location

77 E Crossville Rd
Suite 207
Roswell, GA 30075-5815

Mailing address

77 E Crossville Rd
Suite 207
Roswell, GA 30075-5815

National Provider Directory

National Provider Directory

Locations

77 E Crossville Rd
Ste 207
Roswell, GA 30075
Phone (678) 999-3951

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": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361145600000",
    "number": "1457691156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 E CROSSVILLE RD",
            "address_2": "SUITE 207",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 E CROSSVILLE RD",
            "address_2": "SUITE 207",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755815",
            "telephone_number": "678-999-3951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A",
        "authorized_official_last_name": "SHATTUCK",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-999-3951"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 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.