Soar & Live Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOAR & LIVE INC

Practice address

517 N Mountain Ave # 216
Upland, CA 91786-5016

Phone

(909) 401-1759

Fax

(866) 927-8001

NPI assigned

Mar 15, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Cherisse Hunter-Southern, ED.D. COUNSELING PSYNPI 1447826847

Title

Vice President

Phone

(909) 401-1759

Specialties & licenses 1

Addresses

Practitioners 1

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

• Cherisse Hunter-Southern, ED.D.C.P.

  • Professional Counselor
  • Riverside, CA
  • NPI 1447826847

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1647302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1467100883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 N MOUNTAIN AVE # 216",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865016",
            "telephone_number": "909-401-1759",
            "fax_number": "866-927-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 N MOUNTAIN AVE # 216",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865016",
            "telephone_number": "909-401-1759",
            "fax_number": "866-927-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOAR & LIVE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-15",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "HUNTER-SOUTHERN",
        "authorized_official_first_name": "CHERISSE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "909-401-1759",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D. COUNSELING PSY"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lynn Smith, CADC-II
• Willie Smith, 14558-RAC
• Joshua James Snook
• Ethan Leroy Snyder, PA
• Jimmy K. So, OD
• Soheil Lahijani M.D., a Medical Corporation
• Solana Dental Corporation
• Munesh Solanki
• Michael Christian Solano
• Max Vinco Soliguen, M.D.

• Mental Health Counselor in Upland, CA
• Providers in Upland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.