The Soulstice Center Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

THE SOULSTICE CENTER INC

Doing business as

Soulstice Inc

Practice address

59 Central Park Dr
None
Atlanta, GA 30354-4132

Phone

(678) 334-5469

NPI assigned

Dec 30, 2015

Last updated

Dec 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Debra Tavaras

Title

Founder

Phone

(678) 334-5469

Specialties & licenses 1

Addresses

Other names 1

• Soulstice Inc Doing business as

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

{
    "created_epoch": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1649635053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CENTRAL PARK DR",
            "address_2": "NONE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303544132",
            "telephone_number": "678-334-5469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CENTRAL PARK DR",
            "address_2": "NONE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303544132",
            "telephone_number": "678-334-5469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOULSTICE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "TAVARAS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "678-334-5469",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soulstice Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Voluntary or Charitable Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Voluntary or Charitable Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.