Organization Active NPI

Soul & Spirit Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Livonia, MI
National Provider Identifier
1558052589
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
SOUL & SPIRIT SERVICES, LLC
Practice address
33150 Schoolcraft Rd Ste 102
Livonia, MI 48150-1646
Phone
(734) 221-0115
NPI assigned
May 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2023

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

Authorized official

Name
Andrea L Cerney, LLP, CAADCNPI 1871661496
Title
Owner
Phone
(248) 640-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

33150 Schoolcraft Rd Ste 102
Livonia, MI 48150-1646

Mailing address

165 Eagle Crest Dr
South Lyon, MI 48178-1283
Phone (248) 640-9777

National Provider Directory

National Provider Directory

Locations

33150 Schoolcraft Rd
Ste 102
Livonia, MI 48150
Phone (517) 377-6732

43155 Main St
#C
Novi, MI 48375

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1684454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1558052589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 EAGLE CREST DR",
            "city": "SOUTH LYON",
            "state": "MI",
            "postal_code": "481781283",
            "telephone_number": "248-640-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33150 SCHOOLCRAFT RD STE 102",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481501646",
            "telephone_number": "734-221-0115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL & SPIRIT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-19",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-31",
        "status": "A",
        "authorized_official_last_name": "CERNEY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-640-9777",
        "authorized_official_credential": "LLP, CAADC"
    },
    "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": []
}

Other providers in Livonia, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.