Souldier Seyyid Solutions, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

14152 Issued in MD

Legal business name

SOULDIER SEYYID SOLUTIONS, LLC

Practice address

4802 Gwynn Oak Ave
Suite 200-R
Baltimore, MD 21207-6832

Phone

(410) 466-3010

Fax

(410) 466-3013

NPI assigned

Mar 21, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Marni N. Seyyid, LCSW-C

Title

Ceo/Lead Trainer

Phone

(410) 466-3010

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Esonija Shavon Fulgham, LCSW-C, ABD

  • Clinical Social Worker
  • Gaithersburg, MD
  • NPI 1346674140

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397174400000",
    "number": "1598030710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 GWYNN OAK AVE",
            "address_2": "SUITE 200-R",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076832",
            "telephone_number": "410-466-3010",
            "fax_number": "410-466-3013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 GWYNN OAK AVE",
            "address_2": "SUITE 200-R",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212076832",
            "telephone_number": "410-466-3010",
            "fax_number": "410-466-3013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULDIER SEYYID SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2014-04-11",
        "status": "A",
        "authorized_official_last_name": "SEYYID",
        "authorized_official_first_name": "MARNI",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "CEO/LEAD TRAINER",
        "authorized_official_telephone_number": "410-466-3010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MD",
            "license": "14152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019259700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Samantha Souhrada, PA-C
• Elena Soukhov, MD
• Soul Soil Healing LLC
• Soul-Renity, LLC
• Soul-Renity, LLC
• Soulful Healing Center LLC
• Souls in Harmony
• Soulshine Counseling LLC
• Mabona Soumahoro
• Sound Body Physiotherapy, LLC

• Community/Behavioral Health Agency in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Community/Behavioral Health Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.