Sozo Healing Center LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOZO HEALING CENTER LLC

Practice address

24901 Northwestern Hwy Ste 314B
Southfield, MI 48075-2207

Phone

(313) 801-0074

NPI assigned

Jun 28, 2019

Organization subpart

No

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

Authorized official

Name

Pamela Nelson, LPCNPI 1033770136

Title

Counselor

Phone

(313) 801-0074

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Pamela Denise Nelson, LPC

  • Professional Counselor
  • Southfield, MI
  • NPI 1033770136
  NPD (past) Authorized official

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561680000000",
    "number": "1629639737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16772 ROSEMONT AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482194151",
            "telephone_number": "313-801-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24901 NORTHWESTERN HWY STE 314B",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752207",
            "telephone_number": "313-801-0074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOZO HEALING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-28",
        "last_updated": "2019-06-28",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "313-801-0074",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Southfield, MI
• Providers in Southfield, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; 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.