Soulvation Farms

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SOULVATION FARMS

Practice address

418 S Edwards CT
Scranton, PA 18504-2876

Phone

(570) 229-7320

NPI assigned

Jul 12, 2024

Organization subpart

No

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

Authorized official

Name

Kristen Williams, CRS

Title

Owner

Phone

(570) 229-7320

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1659118933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 S EDWARDS CT",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042876",
            "telephone_number": "570-229-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "418 S EDWARDS CT",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185042876",
            "telephone_number": "570-229-7320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULVATION FARMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-229-7320",
        "authorized_official_credential": "CRS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammad Ahsen Soomro
• Jillian Sopp, LMT
• Mary Soska, LPC
• Soul Knechtions LLC
• Soulful Solutions Counseling, LLC
• South Side Clinic
• Ann Marie Southard, R.N.
• Mary Elaine Southard
• Lindsey Spak
• Lisa Spangenberg

• Community/Behavioral Health Agency in Scranton, PA
• Providers in Scranton, PA by specialty
• Community/Behavioral Health Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.