Souls of Solace, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SOULS OF SOLACE, LLC

Practice address

6931 S 66TH East Ave
Tulsa, OK 74133-1754

Phone

(918) 221-0705

NPI assigned

Nov 9, 2017

Last updated

Nov 9, 2017By 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

Mr. David Cordle Jr., LPC

Title

LLC Member/Licensed Therapist

Phone

(918) 850-6503

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1649783846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N BROADWAY ST",
            "city": "CLEVELAND",
            "state": "OK",
            "postal_code": "740203810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6931 S 66TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741331754",
            "telephone_number": "918-221-0705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULS OF SOLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "CORDLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "LLC MEMBER/LICENSED THERAPIST",
        "authorized_official_telephone_number": "918-850-6503",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.