NPIMap

Organization Active NPI

Soulful Living LLC

  • Adult Mental Health Clinic/Center
  • Bloomfield Hills, MI
National Provider Identifier
1609342146
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
SOULFUL LIVING LLC
Practice address
74 W Long Lake Rd Ste 100
Bloomfield Hills, MI 48304-2770
Phone
(248) 885-0225
Fax
(734) 207-5326
NPI assigned
Oct 23, 2018
Last updated
Oct 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Tamara Kolton, LLPNPI 1740623016
Title
LLP/Owner
Phone
(248) 885-0225

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

74 W Long Lake Rd Ste 100
Bloomfield Hills, MI 48304-2770

Mailing address

74 W Long Lake Rd Ste 100
Bloomfield Hills, MI 48304-2770
Phone (248) 885-0225

National Provider Directory

National Provider Directory

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": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1609342146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 W LONG LAKE RD STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042770",
            "telephone_number": "248-885-0225",
            "fax_number": "734-207-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 W LONG LAKE RD STE 100",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483042770",
            "telephone_number": "248-885-0225",
            "fax_number": "734-207-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULFUL LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "KOLTON",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "LLP/OWNER",
        "authorized_official_telephone_number": "248-885-0225",
        "authorized_official_credential": "LLP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.